ASSESSMENT OF SURGICAL APPROACHES IN THYROIDECTOMY: A RETROSPECTIVE STUDY ON COMPLICATION RATES AND PATIENT SATISFACTION.

Abstract

Background: Thyroidectomy is a common surgical procedure performed to treat thyroid disorders, with various surgical approaches available, including open thyroidectomy and minimally invasive techniques such as robotic or endoscopic thyroidectomy. The choice of surgical approach can impact postoperative outcomes, including complication rates and patient satisfaction. This retrospective study aims to assess complication rates and patient satisfaction associated with different surgical approaches in thyroidectomy.

Methods: This retrospective observational study was conducted at Saveetha Medical College and Hospital, involving a sample size of 38 patients who underwent thyroidectomy between specified dates. Data collected included indications for surgery (goiter or tumors), extent of thyroidectomy (partial, subtotal, total), and postoperative outcomes such as complication rates and patient satisfaction, assessed using a 5-point Likert scale.

Results: Thirty-eight patients underwent thyroidectomy, with goiter identified as the primary indication in 33 (86.8%) cases and tumors in 5 (13.2%) cases. The extent of thyroidectomy included partial in 33 (87%), subtotal in 4 (10.5%), and total in 1 (2.6%) patients. The observed complication rate was lower than expected, at 1.1%. Patient satisfaction was high, with 28 patients rating their experience as very satisfied (5 points on the Likert scale), 9 patients satisfied, and 1 patient unsure. There were no reported deaths.

Conclusion: Thyroidectomy procedures performed at Saveetha Medical College and Hospital demonstrated a high level of safety, with a low complication rate and high patient satisfaction (97%). This study underscores the effectiveness and positive outcomes of thyroid surgery, emphasizing the importance of patient-centered care and surgical excellence in achieving favorable postoperative results.