A comparative study of postoperative pain for open thyroidectomy versus bilateral axillo-breast approach robotic thyroidectomy using a self-reporting application for iPad

作者: Young Jun Chai , Junho Song , Jiyoung Kang , Jung-Woo Woo , Ra-Yeong Song

DOI: 10.4174/ASTR.2016.90.5.239

关键词: Postoperative complicationCosmesisThyroidectomyThyroidPostoperative painMedicineRobotic thyroidectomyAnalgesicAnesthesiaThroatSurgery

摘要: Purpose: Postoperative pain for robotic thyroid surgeries including bilateral axillo-breast approach (BABA) has not been well studied. In this study, we have developed a self-reporting application (SRA) iPad and prospectively collected scores from open thyroidectomy (OT) BABA (RT) patients. Methods: Female patients who underwent total papillary carcinoma were included. Patients recorded throat, anterior neck, posterior chest, back on postoperative days 1, 2, 3. Once discharged, day 14, survey was also conducted satisfaction of SRA cosmesis. Results: A 54 enrolled (27 RT 27 OT). There no significant differences between the 2 groups in clinicopathological characteristics complication rates. at 3, 14 significantly different or back. analgesic requirements similar groups. Wound higher group (BABA 7.4 vs. OT 5.7; P = 0.016). Satisfaction usefulness above 7.2 all four questionnaire items 10-point scale. Conclusion: is equivalent to but offers greater cosmetic mobile device such as may facilitate proper assessment management

参考文章(17)
Kim Hy, d'Ajello F, Lee Jb, Bae Jw, Son Gs, Woo Su, Robotic thyroid surgery using bilateral axillo-breast approach: personal initial experience over two years. Minerva Chirurgica. ,vol. 67, pp. 39- 48 ,(2012)
Wan Wook Kim, Jee Soo Kim, Sung Mo Hur, Sung Hoon Kim, Se-Kyung Lee, Jae Hyuck Choi, Sangmin Kim, Jeong Eon Lee, Jung-Han Kim, Seok Jin Nam, Jung-Hyun Yang, Jun-Ho Choe, Is Robotic Surgery Superior to Endoscopic and Open Surgeries in Thyroid Cancer World Journal of Surgery. ,vol. 35, pp. 779- 784 ,(2011) , 10.1007/S00268-011-0960-7
Kyu Eun Lee, Do Hoon Koo, Su-jin Kim, Jeonghun Lee, Kyoung Sik Park, Seung Keun Oh, Yeo-Kyu Youn, Outcomes of 109 patients with papillary thyroid carcinoma who underwent robotic total thyroidectomy with central node dissection via the bilateral axillo-breast approach. Surgery. ,vol. 148, pp. 1207- 1213 ,(2010) , 10.1016/J.SURG.2010.09.018
Kyu Eun Lee, June Young Choi, Yeo-Kyu Youn, Bilateral axillo-breast approach robotic thyroidectomy. Surgical Laparoscopy Endoscopy & Percutaneous Techniques. ,vol. 21, pp. 230- 236 ,(2011) , 10.1097/SLE.0B013E31822D0455
Kyung Tae, Yong Bae Ji, Seok Hyun Cho, Seung Hwan Lee, Dong Sun Kim, Tae Wha Kim, Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma: 2 years' experience. Head and Neck-journal for The Sciences and Specialties of The Head and Neck. ,vol. 34, pp. 617- 625 ,(2012) , 10.1002/HED.21782
Elizabeth A. Stanford, Christine T. Chambers, Kenneth D. Craig, A normative analysis of the development of pain-related vocabulary in children. Pain. ,vol. 114, pp. 278- 284 ,(2005) , 10.1016/J.PAIN.2004.12.029
Eun Jeong Ban, Ji Young Yoo, Won Woong Kim, Hae Young Son, Seulkee Park, So Hee Lee, Cho Rok Lee, Sang-Wook Kang, Jong Ju Jeong, Kee-Hyun Nam, Woong Youn Chung, Cheong Soo Park, Surgical complications after robotic thyroidectomy for thyroid carcinoma: a single center experience with 3,000 patients Surgical Endoscopy and Other Interventional Techniques. ,vol. 28, pp. 2555- 2563 ,(2014) , 10.1007/S00464-014-3502-1
Haeng Rang Ryu, Jandee Lee, Jae-Hyun Park, Sang-Wook Kang, Jong Ju Jeong, Jeong-Youn Hong, Woong Youn Chung, A Comparison of Postoperative Pain After Conventional Open Thyroidectomy and Transaxillary Single-Incision Robotic Thyroidectomy: A Prospective Study Annals of Surgical Oncology. ,vol. 20, pp. 2279- 2284 ,(2013) , 10.1245/S10434-012-2557-2
Inger Hallberg, Ulrika Bengtsson, Mikael Hoffmann, Dick Kasperowski, Mona Lundin, Agneta Ranerup, Lena Ring, Ulf Rosenqvist, Charles Taft, Karin Kjellgren, Stefan Hoefer, Asa Makitalo, Phases in development of an interactive mobile phone-based system to support self-management of hypertension Integrated Blood Pressure Control. ,vol. 7, pp. 19- 28 ,(2014) , 10.2147/IBPC.S59030