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

作者：Ryu Haeng Rang; Lee Jandee; Park Jae Hyun; Kang Sang Wook; Jeong Jong Ju; Hong Jeong Youn^*; Chung Woong Youn

来源：Annals of Surgical Oncology, 2013, 20(7): 2279-2284.

DOI：10.1245/s10434-012-2557-2

The aim of this study was to compare conventional open thyroidectomy with robotic thyroidectomy in terms of postoperative pain. %26lt;br%26gt;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. %26lt;br%26gt;The postoperative pain at 30 min and 4 h after surgery were 3.0 +/- A 0.9 and 2.6 +/- A 0.9 (p = .066) and 4.9 +/- A 1.3 and 4.4 +/- A 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 +/- A 1.3 and 3.0 +/- A 1.3 (p = .001), 2.6 +/- A 1.2 and 2.0 +/- A 0.9 (p = .005), 1.7 +/- A 0.9 and 1.3 +/- A 0.6 (p = .034), and 0.9 +/- A 0.7 and 1.2 +/- A 1.1 (p = .093), respectively. No significant differences were observed between the 2 groups in terms of postoperative rescue analgesic use (1.1 +/- A 1.1 and 0.8 +/- A 0.9, p = .264). %26lt;br%26gt;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.

• 出版日期2013-7