title: Comparison between transareola singlesite endoscopic thyroidectomy and minimally invasive video-assisted thyroidectomy.
abstract: OBJECTIVE
  To compare surgical outcomes between transareola single-site endoscopic thyroidectomy (TASSET) and minimally invasive video-assisted thyroidectomy (MIVAT).
  
  
  METHODS
  Patients with thyroid nodules were randomized to TASSET (n = 24) or MIVAT (n = 24). Surgical  outcomes and patient-rated cosmetic results, based on numerical (0 [worst], 10 [best]) and verbal (1 [poor], 4 [excellent]) response scales, were compared.
  
  
  RESULTS
  There were no significant differences between groups for age, sex, indication for operation, estimated blood loss, postoperative  pain and length of postoperative stay. TASSET was associated with a significantly longer mean ± SD operative time than MIVAT (156.84 ± 41.42 vs. 66.38 ± 17.58 min), and significantly improved cosmetic results according to the numerical (9.63 ± 0.60 vs 7.90 ±  1.38) and verbal response (3.8 ± 0.5 vs 3.1 ± 0.7) scales. Postoperative complaints were comparable between the two approaches, although MIVAT involved a shorter operation time.
  
  
  CONCLUSIONS
  Patients treated with TASSET had superior cosmetic results compared with those treated  with MIVAT.
authors: Department of General Surgery, Fengxian Central Hospital (Fengxian Branch of Shanghai Sixth People's Hospital), Shanghai Jiao Tong University, Shanghai, China.
authors: Y-Z
authors: YZ
authors: Shan
authors: L-M
authors: LM
authors: Zhou
authors: Z-F
authors: ZF
authors: Yu
authors: S-G
authors: SG
authors: Wang
authors: G-L
authors: GL
authors: Gao
authors: Y
authors: Y
authors: Shen
authors: X-L
authors: XL
authors: Zhang
mesh_terms: D000328:Adult; D004724:Endoscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000379:methods*; D010149:Postoperative Pain; D011183:Postoperative Complications; D016606:Thyroid Nodule / Q000601:surgery; D013965:Thyroidectomy / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome; D020535:Video-Assisted Surgery / Q000009:adverse effects / Q000379:methods*