title: Postoperative Pain After Robotic Thyroidectomy by a Gasless Unilateral Axillo-Breast or Axillary Approach.
abstract: The aim of this study was to compare postoperative pain after robotic thyroidectomy with that after conventional open thyroidectomy. We analyzed 123 patients who underwent robotic thyroidectomy and 170 patients who underwent conventional open thyroidectomy. Postoperative pain was evaluated on a visual analogue scale rating of 0 to 10, 1 day to 1 month after surgery. Mean pain visual analogue scale scores for the robotic and open groups were 3.33 and 3.57 (P=0.476) on day 1, 2.29 and 2.58 (P=0.285) on day 3, 2.19 and 1.74 (P=0.057) after 1 week, and 0.98 and 1.01 (P=0.843) after 1 month, respectively. There was no difference between the 2 groups in the doses of parenteral analgesic medication administered (robotic vs. open, mean 174 vs. 194 mg, P=0.189). In conclusion, postoperative pain and the dose of analgesic medication in both groups are similar.
authors.affiliation: Departments of *Otolaryngology-Head and Neck Surgery †Thoracic and Cardiovascular Surgery, College of Medicine, Hanyang University, Seoul, South Korea.
authors.forename: Chang Myeon
authors.initials: CM
authors.lastname: Song
authors.forename: Yong Bae
authors.initials: YB
authors.lastname: Ji
authors.forename: Hyang Sook
authors.initials: HS
authors.lastname: Bang
authors.forename: Kyung Rae
authors.initials: KR
authors.lastname: Kim
authors.forename: Hyuck
authors.initials: H
authors.lastname: Kim
authors.forename: Kyung
authors.initials: K
authors.lastname: Tae
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D001365:Axilla; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D037981:Neck Dissection; D010147:Pain Measurement; D010149:Postoperative Pain / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D065287:Robotic Surgical Procedures / Q000009:adverse effects*; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy / Q000009:adverse effects*; D055815:Young Adult
chemical_list: D000700:Analgesics