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1000 Titel
  • Quality of life and surgical outcome of ABBA versus EndoCATS endoscopic thyroid surgery: a single center experience
1000 Autor/in
  1. Wirth, Ulrich |
  2. von Ahnen, Thomas |
  3. Hampel, Josef |
  4. Schardey, Josefine |
  5. Busch, Peter |
  6. Schardey, Hans Martin |
  7. Schopf, Stefan |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-03-08
1000 Erschienen in
1000 Quellenangabe
  • 36(2):968-979
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1007/s00464-021-08361-w |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8758646/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Thyroid surgery is often performed, especially in young female patients. As patient satisfaction become more and more important, different extra-cervical 'remote' approaches have evolved to avoid visible scars in the neck for better cosmetic outcome. The most common remote approaches are the transaxillary and retroauricular. Aim of this work is to compare Endoscopic Cephalic Access Thyroid Surgery (EndoCATS) and axillo-bilateral-breast approach (ABBA) to standard open procedures regarding perioperative outcome and in addition to control cohorts regarding quality of life (QoL) and patient satisfaction.!##!Methods!#!In a single center, 59 EndoCATS und 52 ABBA procedures were included out of a 2 years period and compared to 225 open procedures using propensity-score matching. For the endoscopic procedures, cosmetic outcome, patient satisfaction and QoL (SF-12 questionnaire) were examined in prospective follow-up. For QoL a German standard cohort and non-surgically patients with thyroid disease were used as controls.!##!Result!#!The overall perioperative outcome was similar for all endoscopic compared to open thyroid surgeries. Surgical time was longer for endoscopic procedures. There were no cases of permanent hypoparathyroidism and no significant differences regarding temporary or permanent recurrent laryngeal nerve (RLN) palsies between open and ABBA or EndoCATS procedures (χ!##!Conclusion!#!Endoscopic thyroid surgery is safe with comparable perioperative outcome in experienced high-volume centers. Patient satisfaction and cosmetic results are excellent; QoL is impaired in surgical patients, as they perform slightly worse compared to German standard cohort and non-surgical patients.
1000 Sacherschließung
lokal Female [MeSH]
lokal EndoCATS
lokal ABBA
lokal Humans [MeSH]
lokal Prospective Studies [MeSH]
lokal Treatment Outcome [MeSH]
lokal Endoscopy/methods [MeSH]
lokal Retroauricular approach
lokal Thyroidectomy/methods [MeSH]
lokal Article
lokal Thyroid Gland/surgery [MeSH]
lokal Thyroid Neoplasms/surgery [MeSH]
lokal Quality of Life [MeSH]
lokal Endoscopic thyroid surgery
lokal Transaxillary approach
lokal Remote approach thyroid surgery
1000 Liste der Beteiligten
  1. https://orcid.org/0000-0003-2366-8524|https://frl.publisso.de/adhoc/uri/dm9uIEFobmVuLCBUaG9tYXM=|https://frl.publisso.de/adhoc/uri/SGFtcGVsLCBKb3NlZg==|https://frl.publisso.de/adhoc/uri/U2NoYXJkZXksIEpvc2VmaW5l|https://frl.publisso.de/adhoc/uri/QnVzY2gsIFBldGVy|https://frl.publisso.de/adhoc/uri/U2NoYXJkZXksIEhhbnMgTWFydGlu|https://frl.publisso.de/adhoc/uri/U2Nob3BmLCBTdGVmYW4=
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1000 Erstellt am 2023-05-09T10:08:27.476+0200
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1000 Zuletzt bearbeitet 2023-10-21T01:43:39.070+0200
1000 Objekt bearb. Sat Oct 21 01:43:39 CEST 2023
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