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Long-term cosmetic results of video-assisted thyroidectomy: a comparison with conventional surgery

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Abstract

Purpose

We present the long-term cosmetic results of the video-assisted thyroidectomy (MIVAT) in comparison to the conventional operation.

Methods

Forty-eight patients (four males, 44 females; mean age 47.4 ± 12.5 years) constituted the video-assisted group (VA-Group). These were compared with 48 patients (10 males, 38 females; mean age 47.4 ± 12.5 years) operated by conventional surgery (C-Group). The patients were selected from all thyroid operations performed between January 2016 and June 2017. Patient Scar Assessment Scale (PSAS) and Observer Scar Assessment Scale (OSAS) were used for the evaluation performed by an independent surgeon. Both scales contained six items scored numerically on a ten-step scale ranging from 1 (normal skin) to 10 (worst result). Moreover, photos of all scars were taken and analyzed by six team surgeons using modified OSAS.

Results

The mean follow-up time was 31.7 ± 6.4 months for the MIVAT group and 32.9 ± 4.6 months for the conventional group (p = 0.39). The mean scar length in the VA-Group was 2.6 cm vs. 3.8 cm in the C-Group (p < 0.0001). The total score of PSAS was 9.93 (6–35) for MIVAT and 9.72 (6–29) for conventional thyroidectomy (p = 0.22). The total OSAS score by the independent surgeon showed a better cosmetic outcome for conventional surgery (13.19 vs. 12.33; p = 0.01). The total OSAS score by the six team surgeons did not differ between both groups in five of six ratings; one surgeon favored MIVAT (12.2 vs. 13.6; p = 0.04).

Conclusions

This study does not find cosmetic advantages of minimally invasive video-assisted thyroidectomy compared to conventional thyroidectomy.

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Author information

Author notes

  1. P. F. Alesina and W. Wahabie contributed equally to this work.

Authors and Affiliations

  1. Klinik für Chirurgie und Zentrum für Minimal Invasive Chirurgie, Evang. Kliniken Essen-Mitte, Henricistrasse 92, 45136, Essen, Germany

    P. F. Alesina, B. Meier, J. Hinrichs, W. Mohmand, A. Kapakoglou, P. Kniazeva & M. K. Walz

  2. Evangelisches Krankenhaus Oldenburg, Steinweg 13-17, 26122, Oldenburg, Germany

    W. Wahabie

Authors
  1. P. F. Alesina
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  2. W. Wahabie
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  3. B. Meier
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  8. M. K. Walz
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Contributions

Study conception and design: PF Alesina. Acquisition of data: W Wahabie. Analysis and interpretation of data: PF Alesina, W Wahabie, and MK Walz. Drafting of manuscript: PF Alesina and W Wahabie. Critical revision of manuscript: B Meier, J Hinrichs, W Mohmand, A Kapakoglou, P Kniazeva, and MK Walz.

Corresponding author

Correspondence to P. F. Alesina.

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Ethics approval

The study was approved by the ethic committee of the University of Essen. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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The authors declare no competing interests.

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Alesina, P.F., Wahabie, W., Meier, B. et al. Long-term cosmetic results of video-assisted thyroidectomy: a comparison with conventional surgery. Langenbecks Arch Surg 406, 1625–1633 (2021). https://doi.org/10.1007/s00423-021-02196-8

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  • DOI: https://doi.org/10.1007/s00423-021-02196-8

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