TRANSAXILLARY GASLESS ENDOSCOPIC THYROIDECTOMY VERSUS CONVENTIONAL OPEN THYROIDECTOMY: SYSTEMATIC REVIEW AND META-ANALYSIS
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Date
2021-04-30
Authors
Jasaitis, Kristijonas
Midlenko, Anna
Bekenova, Aigerim
Ignatavicius, Povilas
Gulbinas, Antanas
Dauksa, Albertas
Journal Title
Journal ISSN
Volume Title
Publisher
Wideochir Inne Tech Maloinwazyjne
Abstract
Aim: 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.
Description
Keywords
thyroidectomy, Type of access: Open Access, meta-analysis, conventional, endoscopic, transaxillary, gasless
Citation
Jasaitis, K., Midlenko, A., Bekenova, A., Ignatavicius, P., Gulbinas, A., & Dauksa, A. (2021). Transaxillary gasless endoscopic thyroidectomy versus conventional open thyroidectomy: systematic review and meta-analysis. Videosurgery and Other Miniinvasive Techniques, 16(3), 482–490. https://doi.org/10.5114/wiitm.2021.105722