Comparative study on endoscopic versus open thyroidectomy

Abstract

Background: In recent times, the demand for endoscopic techniques for thyroid tumors has been increased, and the aim of this study is to compare conventional open thyroidectomy (ConT) with endoscopic thyroidectomy (ET) in terms of duration of the procedure, blood loss during surgery, postoperative discomfort or pain, antibiotics, and analgesics requirement and other associated factors. Materials and Methods: The study was a prospective study carried out among 90 patients who were undergone endoscopic or open thyroidectomy at the government general hospital, Kakinada, between August 2017 and August 2019. Fifty-two patients have undergone ConT, and 32 patients have undergone ET. The Microsoft Excel 2016 and SPSS Version 20 were used for statistical analysis. A Chi-square test was performed to analyze surgical outcomes, and P < 0.05 was taken as statistically significant. Results: The majority of the study participants was females and belongs to the age group in between 31 and 40 years. The mean duration of surgery for ConT and ET is 79.13 and 135.15 min and has statistical significance (P < 0.01). The mean period of hospitalization was 2.1 days for ET, which was lesser than 4.21 for ConT The Wound Infection was found more in people who undergone ConT, and the postsurgery patient satisfaction was more among people who undergone ET. Conclusion: ET approach has several potential weaknesses in terms of operative time, cost factor, and invasiveness and In favor of shorter hospital stay, less postoperative pain, and excellent cosmetic results, especially in young women.