Transaxillary gasless endoscopic thyroidectomy versus conventional open thyroidectomy: Systematic review and meta-analysis
Jasaitis K. Midlenko A. Bekenova A. Ignatavicius P. Gulbinas A. Dauksa A.
2021Termedia Publishing House Ltd.
Wideochirurgia I Inne Techniki Maloinwazyjne
2021#16Issue 3482 - 490 pp.
Aim: This systematic review and meta-analysis evaluates surgical outcome and safety results of conventional (OT) versus endoscopic transaxillary gasless thyroidectomies (ET). Material and methods: A systematic literature search was performed. The weighted mean differences or the odd ratios with corresponding 95% CIs were examined for surgical outcomes and complications. The results were analysed using fixed- or random-effects models. The heterogeneity was checked by the Cochran Q test and the extent of inconsistency was evaluated by the I2 statistic. Results: Ten studies and 1597 patients were included. All studies found that ET required longer operative time. Postoperative pain was significantly lower after ET on day 1 and day 7. No statistical difference was found in complication rates. Conclusions: ET has disadvantages such as longer surgery time, but it is a feasible and safe procedure with lower postoperative pain and comparable complication rates to OT. However, good quality prospective randomised studies are necessary to draw firmer conclusions.
Conventional , Endoscopic , Gasless , Meta-analysis , Thyroidectomy , Transaxillary
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Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
Department of Medicine, School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan
Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich, Zürich, Switzerland
Department of Surgery
Department of Medicine
Klinik für Viszeral- und Transplantationschirurgie
10 лет помогаем публиковать статьи Международный издатель
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