Endocrine Abstracts

Introdcution: The number of patients who undergo transoral thyroidectomy has increased with the recent progress in thyroid surgery techniques and increasing number of patients concerned about cosmetic effects. This study aimed to compare transoral endoscopic thyroidectomy survey results with those of open thyroidectomy and to determine whether any differences existed between the two groups.

Methods: One hundred patients who underwent thyroidectomy performed by a single surgeon at Gangnam Severance Hospital (Seoul, South Korea) were enrolled. Before and after surgery, the Hospital Anxiety and Depression Scale, Pain Catastrophizing Scale, 15-Item Quality of Recovery, and Post-traumatic Stress Disorder Checklist surveys were administered. Patients with insufficient survey data were excluded

Results: No differences existed between the transoral and conventional thyroidectomy groups in the scale scores, except for the HADS-Depression survey scores. The Hospital Anxiety and Depression Scale-Depression scores of the transoral endoscopic thyroidectomy and open thyroidectomy groups were 4.22±0.781 and 5.52±0.84 (P value <.05 (.039)). In the multivariable analysis adjusted for age and weight differences between the conventional and transoral groups, no differences existed between the groups in the survey scores, including the Hospital Anxiety and Depression Scale-Depression scores.

Conclusions: No differences existed between the transoral endoscopic thyroidectomy and open thyroidectomy groups in the survey scores, except for the Hospital Anxiety and Depression Scale-Depression scores. Thus, postoperative stress about pain and the degree of recovery that patients feel after surgery were similar between the transoral endoscopic thyroidectomy and open thyroidectomy groups.