Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience
Objective: This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery. Methods: In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our instituti...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Brazilian Journal of Otorhinolaryngology |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S180886942400154X |
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| author | Kenzo Ohara Takumi Kumai Kan Kishibe Hidekiyo Yamaki Hiroki Komatsuda Tatsuya Hayashi Miki Takahara |
| author_facet | Kenzo Ohara Takumi Kumai Kan Kishibe Hidekiyo Yamaki Hiroki Komatsuda Tatsuya Hayashi Miki Takahara |
| author_sort | Kenzo Ohara |
| collection | DOAJ |
| description | Objective: This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery. Methods: In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our institution between April 2017 and March 2022. Of these, 209 underwent video-assisted thyroidectomy, while 248 underwent traditional open surgery. After excluding those who received total thyroidectomy, central node dissection, or lateral node dissection, we focused our analysis on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery. We compared patient outcomes, including surgical results and adverse events, between these groups. Results: Significant differences were observed in the maximum tumor diameter between the video-assisted lobectomy and traditional open surgery groups. However, no significant differences were noted in surgical time, bleeding, or adverse events. Conclusion: Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events. Level of evidence: IV. |
| format | Article |
| id | doaj-art-e8b7455d59bc44299b16bb6e54c19b6c |
| institution | OA Journals |
| issn | 1808-8694 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Otorhinolaryngology |
| spelling | doaj-art-e8b7455d59bc44299b16bb6e54c19b6c2025-08-20T01:59:34ZengElsevierBrazilian Journal of Otorhinolaryngology1808-86942025-03-0191210153910.1016/j.bjorl.2024.101539Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experienceKenzo Ohara0Takumi Kumai1Kan Kishibe2Hidekiyo Yamaki3Hiroki Komatsuda4Tatsuya Hayashi5Miki Takahara6Corresponding author.; Asahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanAsahikawa Medical University, Department of Otolaryngology-Head and Neck Surgery, Asahikawa, JapanObjective: This study aimed to evaluate and compare the outcomes of patients undergoing video-assisted thyroidectomy versus those undergoing traditional open surgery. Methods: In this retrospective study, we reviewed the clinical records of 449 patients who underwent thyroid surgery at our institution between April 2017 and March 2022. Of these, 209 underwent video-assisted thyroidectomy, while 248 underwent traditional open surgery. After excluding those who received total thyroidectomy, central node dissection, or lateral node dissection, we focused our analysis on 136 patients with video-assisted lobectomy and 92 patients with traditional open surgery. We compared patient outcomes, including surgical results and adverse events, between these groups. Results: Significant differences were observed in the maximum tumor diameter between the video-assisted lobectomy and traditional open surgery groups. However, no significant differences were noted in surgical time, bleeding, or adverse events. Conclusion: Video-Assisted Neck Surgery (VANS) offers great cosmetic benefits and is comparable to traditional open surgery in terms of adverse events. Level of evidence: IV.http://www.sciencedirect.com/science/article/pii/S180886942400154XEndoscopic thyroid surgeryVideo-assisted neck surgeryLobectomyThyroid tumorGasless lifting retractor |
| spellingShingle | Kenzo Ohara Takumi Kumai Kan Kishibe Hidekiyo Yamaki Hiroki Komatsuda Tatsuya Hayashi Miki Takahara Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience Brazilian Journal of Otorhinolaryngology Endoscopic thyroid surgery Video-assisted neck surgery Lobectomy Thyroid tumor Gasless lifting retractor |
| title | Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience |
| title_full | Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience |
| title_fullStr | Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience |
| title_full_unstemmed | Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience |
| title_short | Comparative outcomes of video-assisted thyroidectomy and traditional open surgery: a 5-year analysis of a single center experience |
| title_sort | comparative outcomes of video assisted thyroidectomy and traditional open surgery a 5 year analysis of a single center experience |
| topic | Endoscopic thyroid surgery Video-assisted neck surgery Lobectomy Thyroid tumor Gasless lifting retractor |
| url | http://www.sciencedirect.com/science/article/pii/S180886942400154X |
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