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ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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2/2023
vol. 18
 
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General surgery
abstract:
Original paper

HRQOL after endoscopic transaxillary gasless hemithyroidectomy

Kristijonas Jasaitis
1
,
Almantas Maleckas
1
,
Virginija Marcinkevičienė
2
,
Dalia Daukšienė
3
,
Virgilijus Krasauskas
1
,
Akvilė Aleksaitė
4
,
Ieva Grikytė
5
,
Albertas Daukša
1

  1. Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
  2. Department of Preventive Medicine, Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
  3. Institute of Endocrinology, Lithuanian University of Health Sciences, Kaunas, Lithuania
  4. Department of Otorhinolaryngology, Lithuanian University of Health Sciences, Kaunas, Lithuania
  5. Medical Academy, Lithuanian University of Health Sciences, Kaunas, Lithuania
Videosurgery Miniinv 2023; 18 (2): 264–271
DOI: https://doi.org/10.5114/wiitm.2023.126447
Online publish date: 2023/04/06
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Introduction
Endoscopic transaxillary gasless hemithyroidectomy (TAH) is one of several different hemithyroidectomy approaches. TAH has the advantage of better cosmesis compared to open surgery, although we have a lack of information about patient health-related quality of life (HRQOL) after TAH.

Aim
To evaluate HRQOL after TAH.

Material and methods
The prospective clinical study involved 40 patients who underwent TAH. Patient demographic and clinical data were collected. Patients completed the Short-Form 36 Health Survey (SF-36) before surgery, and at 1 and 6 months after surgery. Patients were followed up at an outpatient clinic for a check-up and postoperative evaluation. Patient HRQOL preoperative scores were compared with the general population.

Results
All patients were female, with a median age of 32 years and median body mass index of 23 kg/m2. The overall complication rate was 12.5%. According to the SF-36, patient HRQOL 1 month after TAH decreased in role physical (RP) and bodily pain (BP) scores (p < 0.05). RP and BP scores reached the preoperative level 6 months after surgery. Patients’ role emotional score 6 months after surgery was higher than before surgery (78.94 ±34.16 vs. 93.38 ±19.24; p < 0.05). Role physical, general health, physical functioning and vitality scores were changed (p < 0.05) 1 month after surgery in patients with different pathological examination results, lobe weight, lobe volume and postoperative complications.

Conclusions
Patient HRQOL scores are higher 6 months after TAH than before surgery. Thyroiditis in pathological examination, resected lobe weight and volume, postoperative complications have significance to postoperative HRQOL scores.

keywords:

thyroidectomy, endoscopic, hemithyroidectomy, transaxillary, gasless, health-related quality of life
  
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