AI Article Synopsis
- The study compares surgical outcomes of three types of thyroidectomy: transoral robotic thyroidectomy (TORT), transoral endoscopic thyroidectomy vestibular approach (TOETVA), and conventional transcervical thyroidectomy (CTT) using a network meta-analysis of 23 studies.
- Results indicated that CTT had a significantly shorter operative time and TOETVA resulted in longer hospital stays compared to CTT.
- While TORT and TOETVA offered better cosmetic results, the overall surgical outcomes, including complications and postoperative pain, showed no significant differences among the three approaches, except in operative time and hospital stay.
Article Abstract
This study aimed to compare surgical outcomes of transoral robotic thyroidectomy (TORT) and transoral endoscopic thyroidectomy vestibular approach (TOETVA), concurrently compared with conventional transcervical thyroidectomy (CTT). A network meta-analysis, comprising 23 studies, was performed in this study. The operative time of the CTT group was significantly shorter than that of the TOETVA and TORT groups. The hospital stay of the TOETVA group was significantly longer than that of the CTT group. Rates of transient recurrent laryngeal nerve palsy and total complications were higher in association with TOETVA than with TORT. No significant differences were found between the three groups in intraoperative blood loss, retrieved lymph nodes, postoperative pain, and other complications. Cosmetic satisfaction was significantly superior with TORT and TOETVA than with CTT. Compared with CTT, TOETVA and TORT showed superior cosmesis but no significant difference in surgical outcomes except for operative time and hospital stay.
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| http://dx.doi.org/10.1002/hed.27644 | DOI Listing |
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