PMID- 27186567
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20160517
LR  - 20220330
IS  - 2288-6575 (Print)
IS  - 2288-6796 (Electronic)
IS  - 2288-6575 (Linking)
VI  - 90
IP  - 5
DP  - 2016 May
TI  - A comparative study of postoperative pain for open thyroidectomy versus bilateral 
      axillo-breast approach robotic thyroidectomy using a self-reporting application 
      for iPad.
PG  - 239-45
LID - 10.4174/astr.2016.90.5.239 [doi]
AB  - PURPOSE: Postoperative pain for robotic thyroid surgeries including bilateral 
      axillo-breast approach (BABA) has not been well studied. In this study, we have 
      developed a self-reporting application (SRA) for iPad and prospectively collected 
      pain scores from open thyroidectomy (OT) and BABA robotic thyroidectomy (RT) 
      patients. METHODS: Female patients who underwent total thyroidectomy for 
      papillary thyroid carcinoma were included. Patients recorded pain scores for 
      throat, anterior neck, posterior neck, chest, and back on postoperative days 1, 
      2, and 3. Once discharged, on postoperative day 14, a survey was also conducted 
      on satisfaction of SRA and cosmesis. RESULTS: A total of 54 patients were 
      enrolled (27 BABA RT and 27 OT). There were no significant differences between 
      the 2 groups in clinicopathological characteristics and postoperative 
      complication rates. Postoperative pain scores at days 1, 2, 3, and 14 were not 
      significantly different between the groups for throat, anterior neck, posterior 
      neck, or back. Postoperative analgesic requirements were similar between the 2 
      groups. Wound satisfaction scores were significantly higher in the BABA RT group 
      (BABA RT 7.4 vs. OT 5.7; P = 0.016). Satisfaction scores for the usefulness of 
      SRA were above 7.2 for all four questionnaire items on the 10-point scale. 
      CONCLUSION: Postoperative pain for BABA RT is equivalent to OT but offers greater 
      cosmetic satisfaction for patients. A mobile device application such as SRA may 
      facilitate proper assessment and management of pain in postoperative patients.
FAU - Chai, Young Jun
AU  - Chai YJ
AD  - Department of Surgery, Seoul Metropolitan Government-Seoul National University 
      Boramae Medical Center, Seoul, Korea.; Cancer Research Institute, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Song, Junho
AU  - Song J
AD  - Graduate School of Convergence Science and Technology, Seoul National University, 
      Suwon, Korea.
FAU - Kang, Jiyoung
AU  - Kang J
AD  - Department of Nursing, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Woo, Jung-Woo
AU  - Woo JW
AD  - Cancer Research Institute, Seoul National University College of Medicine, Seoul, 
      Korea.; Department of Surgery, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Song, Ra-Yeong
AU  - Song RY
AD  - Cancer Research Institute, Seoul National University College of Medicine, Seoul, 
      Korea.; Department of Surgery, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Kwon, Hyungju
AU  - Kwon H
AD  - Cancer Research Institute, Seoul National University College of Medicine, Seoul, 
      Korea.; Department of Surgery, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Kim, Su-Jin
AU  - Kim SJ
AD  - Cancer Research Institute, Seoul National University College of Medicine, Seoul, 
      Korea.; Department of Surgery, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
FAU - Choi, June Young
AU  - Choi JY
AD  - Department of Surgery, Seoul National University Bundang Hospital, Seongnam, 
      Korea.
FAU - Lee, Kyu Eun
AU  - Lee KE
AD  - Cancer Research Institute, Seoul National University College of Medicine, Seoul, 
      Korea.; Department of Surgery, Seoul National University Hospital, Seoul National 
      University College of Medicine, Seoul, Korea.
LA  - eng
PT  - Journal Article
DEP - 20160502
PL  - Korea (South)
TA  - Ann Surg Treat Res
JT  - Annals of surgical treatment and research
JID - 101622895
PMC - PMC4865700
OTO - NOTNLM
OT  - BABA
OT  - Bilateral axillo-breast approach
OT  - Postoperative pain
OT  - Robotic thyroidectomy
OT  - iPAD
COIS- CONFLICTS OF INTEREST: No potential conflict of interest relevant to this article 
      was reported.
EDAT- 2016/05/18 06:00
MHDA- 2016/05/18 06:01
PMCR- 2016/05/01
CRDT- 2016/05/18 06:00
PHST- 2015/11/17 00:00 [received]
PHST- 2016/01/18 00:00 [revised]
PHST- 2016/02/15 00:00 [accepted]
PHST- 2016/05/18 06:00 [entrez]
PHST- 2016/05/18 06:00 [pubmed]
PHST- 2016/05/18 06:01 [medline]
PHST- 2016/05/01 00:00 [pmc-release]
AID - 10.4174/astr.2016.90.5.239 [doi]
PST - ppublish
SO  - Ann Surg Treat Res. 2016 May;90(5):239-45. doi: 10.4174/astr.2016.90.5.239. Epub 
      2016 May 2.