eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
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3/2021
vol. 16
 
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abstract:
Meta-analysis

Transaxillary gasless endoscopic thyroidectomy versus conventional open thyroidectomy: systematic review and meta-analysis

Kristijonas Jasaitis
1
,
Anna Midlenko
2
,
Aigerim Bekenova
2
,
Povilas Ignatavicius
3
,
Antanas Gulbinas
2
,
Albertas Dauksa
1

1.
Department of Surgery, Lithuanian University of Health Sciences, Kaunas, Lithuania
2.
Department of Medicine, School of Medicine, Nazarbayev University, Nur-Sultan, Kazakhstan
3.
Klinik für Viszeral- und Transplantationschirurgie, Universitätsspital Zürich, Zürich, Switzerland
Videosurgery Miniinv 2021; 16 (3): 482–490
Online publish date: 2021/04/30
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Introduction
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.

keywords:

thyroidectomy, meta-analysis, conventional, endoscopic, transaxillary, gasless

  
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