Abstract
BackgroundTrans-oral endoscopic thyroidectomy allows obviating scar of the neck that expects to gain quality of life (QOL). However, the benefit of the QOL from this technique has not been adequately investigated, therefore, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery.MethodsA study was conducted from January 30, 2017 to November 10, 2018. Thirty-two and 38 patients underwent trans-oral endoscopic thyroid surgery and conventional open surgery, respectively. Their quality of life was evaluated at 2, 6, and 12 weeks postoperatively using a thyroid surgery-specific questionnaire and a 36-item short-form questionnaire.ResultsTrans-oral endoscopic group, patients were younger and presented with smaller thyroid nodules (p < 0.05). Regarding surgical outcomes, there were no statistically significant differences between the two groups. Mean operative time was significantly longer in the trans-oral endoscopic group (p < 0.05). The quality of life parameters in the trans-oral endoscopic group was significantly better than in the conventional surgery group (p < 0.05). These parameters included reduction of physical activity, psychosocial impairment, the role of physic, and emotion at 2 weeks after surgery; swallowing impairment, psychosocial impairment, the role of physic, social function and mental health 6 weeks after surgery; tingling and feeling of vitality at 12 weeks after surgery. Cosmetic outcomes and overall satisfaction were significantly better in the trans-oral endoscopic group than in the conventional surgery group at all of our follow up times (p < 0.05).ConclusionsThe trans-oral endoscopic approach allows real scarless on the skin with better cosmetic and QOL outcomes.Trial registrationThis trial was retrospectively registered at the ClinicalTrial.gov (NCT03048539), registered on 4 March 2017.
Highlights
The quality of life (QOL) of patients with post thyroidectomy scars is impaired [1] after conventional or traditional thyroidectomy with typically approached through a transverse skin incision in the anterior neck [2]
A trans-oral endoscopic thyroidectomy approach has been developed, which completely obviates scarring of the skin
The QOL outcomes among patients undergoing this form of surgery have not been adequately investigated; we developed this study to analyze and compare functional parameters, including QOL and cosmetic outcomes
Summary
The quality of life (QOL) of patients with post thyroidectomy scars is impaired [1] after conventional or traditional thyroidectomy with typically approached through a transverse skin incision in the anterior neck [2]. This technique causes scar formation in an obvious area of the neck. The benefit of the QOL from this technique has not been adequately investigated, this study compared the QOL outcomes, including cosmetic outcomes, between thyroidectomy by trans-oral endoscopy and conventional open surgery
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