Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 13/2014

01-12-2014 | Endocrine Tumors

Quality of Life After Robotic Thyroidectomy by a Gasless Unilateral Axillary Approach

Authors: Chang Myeon Song, MD, Yong Bae Ji, MD, Hyang Sook Bang, RN, Chul Won Park, MD, Dong Sun Kim, MD, Kyung Tae, MD

Published in: Annals of Surgical Oncology | Issue 13/2014

Login to get access

Abstract

Background

Robotic thyroidectomies have been safely performed with early surgical outcomes comparable to conventional cervical thyroidectomies. However, health-related quality of life (HRQOL) after robotic thyroidectomy has not yet been evaluated. The aim of this study was to compare HRQOL of patients who underwent robotic thyroidectomy with that of those who received conventional thyroidectomy.

Methods

We conducted a cross-sectional study in 111 patients who underwent either robotic thyroidectomy (44 patients) via a gasless unilateral axillary approach, or conventional cervical thyroidectomy (67 patients), for papillary thyroid carcinoma (PTC). HRQOL of patients was assessed using two questionnaires, the University of Washington Quality of Life (UW-QOL) questionnaire for patients with head and neck cancer, and the Quality of Life-Thyroid Version (QOL-TV), which was specifically designed for thyroid cancer patients. The survey using the questionnaires was performed 1 year after surgery at a routine outpatient clinic follow-up.

Results

There was no difference in UW-QOL scores between the two groups for any factor other than neck appearance and physical composite score, which were higher in the robotic group. Humor (mood) and anxiety, emotional measures of UW-QOL, were selected by patients in both groups as being their most significant issue during the preceding 7 days. There was no between-group difference in the four QOL-TV domains (physical, psychological, social, and spiritual well-being).

Conclusions

Patients who underwent robotic thyroidectomy reported a higher score for satisfaction with neck appearance compared to patients receiving conventional cervical thyroidectomy. However, the overall HRQOL of patients in the robotic and conventional groups was similar.
Literature
1.
Kang SW, Lee SC, Lee SH, et al. Robotic thyroid surgery using a gasless, transaxillary approach and the da Vinci S system: the operative outcomes of 338 consecutive patients. Surgery. 2009;146:1048–55.PubMedCrossRef
2.
Tae K, Ji YB, Jeong JH, Lee SH, Jeong MA, Park CW. Robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach: our early experiences. Surg Endosc. 2011;25:221–8.PubMedCrossRef
3.
Kuppersmith RB, Holsinger FC. Robotic thyroid surgery: an initial experience with North American patients. The Laryngoscope. 2011;121:521–6.PubMedCrossRef
4.
Tae K, Ji YB, Cho SH, Lee SH, Kim DS, Kim TW. Early surgical outcomes of robotic thyroidectomy by a gasless unilateral axillo-breast or axillary approach for papillary thyroid carcinoma: 2 years’ experience. Head Neck. 2012;34:617–625.PubMedCrossRef
5.
Kandil EH, Noureldine SI, Yao L, Slakey DP. Robotic transaxillary thyroidectomy: an examination of the first one hundred cases. J Am Coll Surg. 2012;214:558–64.PubMedCrossRef
6.
Tae K, Song CM, Ji YB, Kim KR, Kim JY, Choi YY. Comparison of surgical completeness between robotic total thyroidectomy versus open thyroidectomy. The Laryngoscope. 2014;124:1042–7.PubMedCrossRef
7.
Tae K, Kim KY, Yun BR, et al. Functional voice and swallowing outcomes after robotic thyroidectomy by a gasless unilateral axillo-breast approach: comparison with open thyroidectomy. Surg Endosc. 2012;26:1871–1877.PubMedCrossRef
8.
Lee J, Nah KY, Kim RM, Ahn YH, Soh EY, Chung WY. Differences in postoperative outcomes, function, and cosmesis: open versus robotic thyroidectomy. Surg Endosc. 2010;24:3186–194.PubMedCrossRef
9.
Song CM, Cho YH, Ji YB, Jeong JH, Kim DS, Tae K. Comparison of a gasless unilateral axillo-breast and axillary approach in robotic thyroidectomy. Surg Endosc. 2013;27:3769–775.PubMedCrossRef
10.
11.
Ji YB, Song CM, Bang HS, Lee SH, Park YS, Tae K. Long-term cosmetic outcomes after robotic/endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach. J Laparoendosc Adv Surg Tech A. 2014;24:248–253.PubMedCrossRef
12.
Tae K, Ji YB, Jeong JH, Kim KR, Choi WH, Ahn YH. Comparative study of robotic versus endoscopic thyroidectomy by a gasless unilateral axillo-breast or axillary approach. Head Neck. 2013;35:477–484.PubMedCrossRef
13.
14.
Dow KH, Ferrell BR, Anello C. Quality-of-life changes in patients with thyroid cancer after withdrawal of thyroid hormone therapy. Thyroid. 1997;7:613–619.PubMedCrossRef
15.
Rogers SN, Gwanne S, Lowe D, Humphris G, Yueh B, Weymuller EA Jr. The addition of mood and anxiety domains to the University of Washington quality of life scale. Head Neck. 2002;24:521–529.PubMedCrossRef
16.
Chang MY, Rogers SN, Lowe D, et al. The Korean version of the University of Washington Quality of Life Questionnaire for Patients with head and neck cancer, and its use in an initial validation study of 56 patients. Int J Oral Maxillofac Surg. 2012;41:1201–1205.PubMedCrossRef
17.
Weymuller EA Jr, Alsarraf R, Yueh B, Deleyiannis FW, Coltrera MD. Analysis of the performance characteristics of the University of Washington Quality of Life instrument and its modification (UW-QOL-R). Arch Otolaryngol Head Neck Surg. 2001;127:489–493.PubMedCrossRef
18.
Ferrell BR, Dow KH, Leigh S, Ly J, Gulasekaram P. Quality of life in long-term cancer survivors. Oncol Nurs Forum. 1995;22:915–922.PubMed
19.
Davids T, Witterick IJ, Eski S, Walfish PG, Freeman JL. Three-week thyroxine withdrawal: a thyroid-specific quality of life study. The Laryngoscope. 2006;116:250–253.PubMedCrossRef
20.
21.
Dow KH, Ferrell BR, Leigh S, Ly J, Gulasekaram P. An evaluation of the quality of life among long-term survivors of breast cancer. Breast Cancer Res Treat. 1996;39:261–273.PubMedCrossRef
22.
Dagan T, Bedrin L, Horowitz Z, et al. Quality of life of well-differentiated thyroid carcinoma patients. J Laryngol Otol. 2004;118:537–542.PubMedCrossRef
23.
Taieb D, Sebag F, Cherenko M, et al. Quality of life changes and clinical outcomes in thyroid cancer patients undergoing radioiodine remnant ablation (RRA) with recombinant human TSH (rhTSH): a randomized controlled study. Clin Endocrinol. 2009;71:115–123.CrossRef
24.
Schultz PN, Beck ML, Stava C, Vassilopoulou-Sellin R. Health profiles in 5836 long-term cancer survivors. Int J Cancer. 2003;104:488–495.PubMedCrossRef
25.
Schultz PN, Stava C, Vassilopoulou-Sellin R. Health profiles and quality of life of 518 survivors of thyroid cancer. Head Neck. 2003;25:349–356.PubMedCrossRef
26.
Hoftijzer HC, Heemstra KA, Corssmit EP, van der Klaauw AA, Romijn JA, Smit JW. Quality of life in cured patients with differentiated thyroid carcinoma. J Clin Endocrinol Metab. 2008;93:200–203.PubMedCrossRef
27.
Pelttari H, Sintonen H, Schalin-Jantti C, Valimaki MJ. Health-related quality of life in long-term follow-up of patients with cured TNM stage I or II differentiated thyroid carcinoma. Clin Endocrinol. 2009;70:493–497.CrossRef
28.
Dow KH, Ferrell BR, Anello C. Balancing demands of cancer surveillance among survivors of thyroid cancer. Cancer Pract. 1997;5:289–295.PubMed
29.
Chow SM, Au KH, Choy TS, et al. Health-related quality-of-life study in patients with carcinoma of the thyroid after thyroxine withdrawal for whole body scanning. The Laryngoscope. 2006;116:2060–2066.PubMedCrossRef
30.
Almeida JP, Vartanian JG, Kowalski LP. Clinical predictors of quality of life in patients with initial differentiated thyroid cancers. Arch Otolaryngol Head Neck Surg. 2009;135:342–346.PubMedCrossRef
31.
Tagay S, Herpertz S, Langkafel M, et al. Health-related quality of life, anxiety and depression in thyroid cancer patients under short-term hypothyroidism and TSH-suppressive levothyroxine treatment. Eur J Endocrinol. 2005;153:755–763.PubMedCrossRef
Metadata
Title
Quality of Life After Robotic Thyroidectomy by a Gasless Unilateral Axillary Approach
Authors
Chang Myeon Song, MD
Yong Bae Ji, MD
Hyang Sook Bang, RN
Chul Won Park, MD
Dong Sun Kim, MD
Kyung Tae, MD
Publication date
01-12-2014
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 13/2014
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-014-3879-z

Other articles of this Issue 13/2014

Annals of Surgical Oncology 13/2014 Go to the issue

Pancreatic Tumors

Readmission After Pancreatic Resection: Causes and Causality Pattern

Thoracic Oncology

Homozygous GNAS 393C-Allele Carriers with Locally Advanced Esophageal Cancer Fail to Benefit from Platinum-Based Preoperative Chemoradiotherapy

Breast Oncology

Triple-Negative Breast Cancer is Not Associated with Increased Likelihood of Nodal Metastases

Healthcare Policy and Outcomes

The 90-Day Mortality After Pancreatectomy for Cancer Is Double the 30-Day Mortality: More than 20,000 Resections From the National Cancer Data Base

Colorectal Cancer

SMO Expression in Colorectal Cancer: Associations with Clinical, Pathological, and Molecular Features

Breast Oncology

High Volumetric Breast Density Predicts Risk for Breast Cancer in Postmenopausal, but not Premenopausal, Korean Women