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03-01-2024 | Thyroidectomy | Original Article

Comparison of Different Approaches of Endoscopic Thyroidectomy and Open Thyroidectomy: A Meta-analysis

Authors: Komal Gupta, Kamal Kataria

Published in: Indian Journal of Surgery | Special Issue 1/2024

Abstract

Endoscopic thyroidectomy (ET) and its various approaches are widely used for benign and malignant thyroid nodules. Objective of our review is to compare endoscopic thyroidectomy (ET) and its various approaches with open thyroidectomy (OT) regarding safety and benefits. Electronic search was performed on MEDLINE (via PubMed) and the Cochrane Central Register of Controlled Trials (CENTRAL). Randomized controlled trials (RCTs), well-designed cohorts, or case-controlled studies were included. Participants of any age and gender with a diagnosis of a thyroid nodule/goiter were included. We assessed the included trials using the Newcastle–Ottawa Scale to determine the methodological quality. Nineteen studies were included in this review. The risk of postoperative transient vocal cord palsy in ET was found to be higher than in OT (OR 4.47, 95% CI 2.92 to 6.86). Swallowing discomfort in ET was found to be much lower than OT (OR 0.06, 95% CI 0.01 to 0.31). No statistically significant difference was found in the risk of transient hypocalcemia, permanent hypocalcemia, permanent vocal cord palsy, hematoma/postoperative bleeding, seroma formation, and total complications. The operative time for ET was higher than for OT. The drain output after ET was higher than OT. Less number of lymph nodes were removed during ET compared to OT. No statistically significant difference was found in the length of hospital stay. ET can be used as a comparable replacement to OT in selected patients. ET is a safe technique with comparable long-term complications to OT.

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Title: Comparison of Different Approaches of Endoscopic Thyroidectomy and Open Thyroidectomy: A Meta-analysis
Authors: Komal Gupta
Kamal Kataria
Publication date: 03-01-2024
Publisher: Springer India
Keywords: Thyroidectomy
Thyroidectomy
Hypocalcemia
Published in: Indian Journal of Surgery / Issue Special Issue 1/2024
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI: https://doi.org/10.1007/s12262-023-04002-9

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