Health-related quality of life after transoral robotic thyro
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Health-related quality of life after transoral robotic thyroidectomy is improved than after transcervical thyroidectomy says a study by the journal Surgery.

The purpose of this study was to compare health-related quality of life after transoral robotic thyroidectomy and after conventional thyroidectomy.

This study is a prospective, cross-sectional, and observational study of 114 patients who underwent transoral robotic thyroidectomy (57 patients) or conventional transcervical thyroidectomy (57 patients) for the treatment of papillary carcinoma. Researchers used 2 questionnaires: the University of Washington Quality of Life questionnaire for head and neck cancer and the thyroid cancer–specific Quality of Life questionnaire. The survey was performed preoperatively, and 3 months and 1 year after thyroidectomy.

The result was;
--Mean scores for neck appearance were higher after surgery in the transoral robotic thyroidectomy group than the conventional group at both 3 months and 1 year.

--Anxiety was significantly improved after surgery in both groups.

--Total scores for health-related quality of life after surgery were similar in both groups. Health-related quality of life and overall quality of life over the previous 7 days as measured by the University of Washington Quality of Life questionnaire was significantly better at 1 year than in the preoperative period in both groups.

--Before surgery, patients in both groups regarded anxiety and mood as the most important aspects of health-related quality of life.

--After surgery, patients in the transoral robotic thyroidectomy group identified anxiety, mood, and speech as the most significant issues, while patients in the conventional group selected anxiety, mood, and neck appearance.

In conclusion, Quality of life related to neck appearance is higher after transoral robotic thyroidectomy than after transcervical thyroidectomy.

Source: https://doi.org/10.1016/j.surg.2021.02.042
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