Axillo-breast versus bilateral axillo-breast endoscopic thyroidectomy: a randomized quality-of-life study.
Surg EndoscJul 28, 2026 (epub)
Shahidul Haq Dar, Kamal Kataria, Anita Dhar et al.
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In 30 seconds
This randomized controlled trial compared the Axillo-Breast Approach (ABA) and Bilateral Axillo-Breast Approach (BABA) for endoscopic hemithyroidectomy in 64 adult patients. The study found that ABA resulted in significantly higher scores for Vitality and Social Function at 6 weeks postoperatively, while also reducing early neck numbness and improving neck mobility compared to BABA.
Key findings
- At 6 weeks, ABA group had higher Vitality scores (p = 0.045) and Social Function scores (p = 0.027).
- At 2 weeks, ABA showed significantly less neck and chest numbness (p = 0.0028) and better neck mobility (p = 0.004).
- No significant differences in pain scores, operative difficulty, or hospital stay between the two groups.
Why it matters
Understanding the differences in quality of life outcomes between endoscopic thyroidectomy techniques can help clinicians guide patients in making informed decisions regarding surgical options, particularly concerning cosmetic concerns and postoperative recovery.