Quality of Life Following Robotic Transaxillary Versus Conventional Hemithyroidectomy: A Comparative Analysis
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Quality of Life Following Robotic Transaxillary Versus Conventional Hemithyroidectomy : A Comparative Analysis. / Tzelnick, Sharon; Tsur, Nir; Amir, Ido; Mizrachi, Aviram; Watt, Torquil; Rabinovics, Naomi; Mamun, Yaakov; Yaniv, Dan; Bachar, Gideon; Najjar, Esmat.
In: Journal of Laparoendoscopic and Advanced Surgical Techniques, Vol. 33, No. 1, 2023, p. 8-14.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Quality of Life Following Robotic Transaxillary Versus Conventional Hemithyroidectomy
T2 - A Comparative Analysis
AU - Tzelnick, Sharon
AU - Tsur, Nir
AU - Amir, Ido
AU - Mizrachi, Aviram
AU - Watt, Torquil
AU - Rabinovics, Naomi
AU - Mamun, Yaakov
AU - Yaniv, Dan
AU - Bachar, Gideon
AU - Najjar, Esmat
N1 - Publisher Copyright: © Copyright 2023, Mary Ann Liebert, Inc., publishers 2023.
PY - 2023
Y1 - 2023
N2 - Background: Robotic technology has proven safe and effective for thyroidectomy procedures. Few studies have addressed the quality-of-life outcomes of robotic thyroidectomy compared with conventional thyroidectomy. Materials and Methods: The database of a tertiary medical center was retrospectively reviewed for all patients with thyroid disease who had undergone robotic hemithyroidectomy in 2012-2020. All patients treated by transaxillary robotic surgery and a similar number of randomly selected patients treated by conventional cervical surgery completed a standardized self-administered thyroid disease-specific quality-of-life (QOL) questionnaire (ThyPRO). Clinical data were derived from the medical files. The results were compared using mean comparison tests and multivariate logistic regression models. Results: The cohort consisted of 131 patients: 63 after robotic thyroidectomy and 68 after conventional thyroidectomy. The mean age was 38.87 ± 14.11 and 58.85 ± 14.1 years, respectively (P < .0001). The robotic hemithyroidectomy group reported better QOL outcomes in physical and mental health parameters, including decreased anxiety, depression, lower sex life impairment, and cognitive impairment scores (P < .0001). Furthermore, after adjusting for age, gender, malignancy status, and surgical approach, we found that patients undergoing robotic hemithyroidectomy had a lower probability of experiencing depressive symptoms than the conventional hemithyroidectomy group (odds ratio = 0.31; 95% confidence interval, 0.11-0.88). Of interest, no significant difference in cosmetic outcomes was found. Conclusions: Patients who underwent robotic thyroidectomy report better postoperative QOL after surgery than patients operated by the conventional approach in terms of anxiety, depression, cognitive and sex-life scores.
AB - Background: Robotic technology has proven safe and effective for thyroidectomy procedures. Few studies have addressed the quality-of-life outcomes of robotic thyroidectomy compared with conventional thyroidectomy. Materials and Methods: The database of a tertiary medical center was retrospectively reviewed for all patients with thyroid disease who had undergone robotic hemithyroidectomy in 2012-2020. All patients treated by transaxillary robotic surgery and a similar number of randomly selected patients treated by conventional cervical surgery completed a standardized self-administered thyroid disease-specific quality-of-life (QOL) questionnaire (ThyPRO). Clinical data were derived from the medical files. The results were compared using mean comparison tests and multivariate logistic regression models. Results: The cohort consisted of 131 patients: 63 after robotic thyroidectomy and 68 after conventional thyroidectomy. The mean age was 38.87 ± 14.11 and 58.85 ± 14.1 years, respectively (P < .0001). The robotic hemithyroidectomy group reported better QOL outcomes in physical and mental health parameters, including decreased anxiety, depression, lower sex life impairment, and cognitive impairment scores (P < .0001). Furthermore, after adjusting for age, gender, malignancy status, and surgical approach, we found that patients undergoing robotic hemithyroidectomy had a lower probability of experiencing depressive symptoms than the conventional hemithyroidectomy group (odds ratio = 0.31; 95% confidence interval, 0.11-0.88). Of interest, no significant difference in cosmetic outcomes was found. Conclusions: Patients who underwent robotic thyroidectomy report better postoperative QOL after surgery than patients operated by the conventional approach in terms of anxiety, depression, cognitive and sex-life scores.
KW - quality of life
KW - robotic hemithyroidectomy
KW - ThyPRO questionnaire
U2 - 10.1089/lap.2022.0183
DO - 10.1089/lap.2022.0183
M3 - Journal article
C2 - 36322881
AN - SCOPUS:85145955693
VL - 33
SP - 8
EP - 14
JO - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
JF - Journal of Laparoendoscopic and Advanced Surgical Techniques - Part A
SN - 1092-6429
IS - 1
ER -
ID: 362688307