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Annals of Surgical Oncology

, Volume 20, Issue 7, pp 2279–2284 | Cite as

A Comparison of Postoperative Pain After Conventional Open Thyroidectomy and Transaxillary Single-Incision Robotic Thyroidectomy: A Prospective Study

  • Haeng Rang Ryu
  • Jandee Lee
  • Jae-Hyun Park
  • Sang-Wook Kang
  • Jong Ju Jeong
  • Jeong-Youn HongEmail author
  • Woong Youn Chung
Endocrine Tumors

Abstract

Background

The aim of this study was to compare conventional open thyroidectomy with robotic thyroidectomy in terms of postoperative pain.

Methods

We compared the intensity of postoperative pain experienced by patients who received conventional open thyroidectomy (n = 45) versus those who underwent robotic thyroidectomy (n = 45). During surgery, we carefully controlled the anesthetic conditions. All the patients underwent a total thyroidectomy with ipsilateral central compartment node dissection. Postoperative pain in the 2 groups was compared using a visual analog scale and the amount of rescue analgesic at 30 min, 4 h, 1, 2, 3, and 10 days after surgery.

Results

The postoperative pain at 30 min and 4 h after surgery were 3.0 ± 0.9 and 2.6 ± 0.9 (p = .066) and 4.9 ± 1.3 and 4.4 ± 1.3 (p = .055) in the conventional open group and the robotic group, respectively. The mean pain scores at 1, 2, 3, and 10 days after surgery were 3.8 ± 1.3 and 3.0 ± 1.3 (p = .001), 2.6 ± 1.2 and 2.0 ± 0.9 (p = .005), 1.7 ± 0.9 and 1.3 ± 0.6 (p = .034), and 0.9 ± 0.7 and 1.2 ± 1.1 (p = .093), respectively. No significant differences were observed between the 2 groups in terms of postoperative rescue analgesic use (1.1 ± 1.1 and 0.8 ± 0.9, p = .264).

Conclusions

Even though robotic thyroidectomy using the transaxillary technique requires a more extensive subcutaneous dissection than conventional open thyroidectomy, robotic thyroidectomy does not result in more postoperative pain or use of analgesic when compared with open thyroidectomy.

Keywords

Postoperative Pain Papillary Thyroid Carcinoma Recurrent Laryngeal Nerve Robotic Group Endoscopic Thyroidectomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Society of Surgical Oncology 2013

Authors and Affiliations

  • Haeng Rang Ryu
    • 1
  • Jandee Lee
    • 2
  • Jae-Hyun Park
    • 2
  • Sang-Wook Kang
    • 1
  • Jong Ju Jeong
    • 1
  • Jeong-Youn Hong
    • 3
    Email author
  • Woong Youn Chung
    • 1
  1. 1.Department of SurgeryYonsei University College of MedicineSeoulSouth Korea
  2. 2.Department of SurgeryEulji University School of MedicineSeoulSouth Korea
  3. 3.Department of Anesthesiology and Pain Medicine, Asan Medical CenterUlsan University College of MedicineSeoulSouth Korea

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