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HRQOL after endoscopic transaxillary gasless hemithyroidectomy

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. A...

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Autores principales: Jasaitis, Kristijonas, Maleckas, Almantas, Marcinkevičienė, Virginija, Daukšienė, Dalia, Krasauskas, Virgilijus, Aleksaitė, Akvilė, Grikytė, Ieva, Daukša, Albertas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Termedia Publishing House 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481441/
https://www.ncbi.nlm.nih.gov/pubmed/37680732
http://dx.doi.org/10.5114/wiitm.2023.126447
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author Jasaitis, Kristijonas
Maleckas, Almantas
Marcinkevičienė, Virginija
Daukšienė, Dalia
Krasauskas, Virgilijus
Aleksaitė, Akvilė
Grikytė, Ieva
Daukša, Albertas
author_facet Jasaitis, Kristijonas
Maleckas, Almantas
Marcinkevičienė, Virginija
Daukšienė, Dalia
Krasauskas, Virgilijus
Aleksaitė, Akvilė
Grikytė, Ieva
Daukša, Albertas
author_sort Jasaitis, Kristijonas
collection PubMed
description 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/m(2). 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.
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spelling pubmed-104814412023-09-07 HRQOL after endoscopic transaxillary gasless hemithyroidectomy Jasaitis, Kristijonas Maleckas, Almantas Marcinkevičienė, Virginija Daukšienė, Dalia Krasauskas, Virgilijus Aleksaitė, Akvilė Grikytė, Ieva Daukša, Albertas Wideochir Inne Tech Maloinwazyjne Original Paper 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/m(2). 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. Termedia Publishing House 2023-04-06 2023-06 /pmc/articles/PMC10481441/ /pubmed/37680732 http://dx.doi.org/10.5114/wiitm.2023.126447 Text en Copyright © 2023 Sekcja Wideochirurgii TChP https://creativecommons.org/licenses/by-nc-sa/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0). License (http://creativecommons.org/licenses/by-nc-sa/4.0/ (https://creativecommons.org/licenses/by-nc-sa/4.0/) )
spellingShingle Original Paper
Jasaitis, Kristijonas
Maleckas, Almantas
Marcinkevičienė, Virginija
Daukšienė, Dalia
Krasauskas, Virgilijus
Aleksaitė, Akvilė
Grikytė, Ieva
Daukša, Albertas
HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title_full HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title_fullStr HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title_full_unstemmed HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title_short HRQOL after endoscopic transaxillary gasless hemithyroidectomy
title_sort hrqol after endoscopic transaxillary gasless hemithyroidectomy
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481441/
https://www.ncbi.nlm.nih.gov/pubmed/37680732
http://dx.doi.org/10.5114/wiitm.2023.126447
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