{"id":{"repo_id":"ajou","oai_identifier":"oai:repository.ajou.ac.kr:201003/8655"},"canonical_url":"https://search.dev.ndltd.org/etd/ajou/oai:repository.ajou.ac.kr:201003/8655","repository":{"repo_id":"ajou","name":"Ajou University","base_url":"http://repository.ajou.ac.kr/oai/request"},"display":{"title":"Comparison of the incidence of postoperative nausea and vomiting Between women undergoing open or robot-assisted thyroidectomy","abstract":"BACKGROUND: Open thyroidectomy is associated with a high incidence of postoperative nausea and vomiting (PONV) of up to 70 %. Use of the recently introduced robot-assisted endoscopic thyroidectomy using a gasless transaxillary approach has been increasing because of its several advantages over open thyroidectomy. This study compared the incidence of PONV in the womenwho underwent open or robot-assisted thyroidectomy. MATERIALS AND METHODS: This prospective, double-blinded study enrolled 170 women 20-60 years of age who were scheduled for conventional open thyroidectomy (Group O) or robot-assisted thyroidectomy (Group R). A standard anesthetic technique, including sevoflurane and air in oxygen, was used. During 0-24 postoperative periods, the presence and severity of PONV (nausea, retching/vomiting), severity of pain, need for rescue antiemetics and the incidence ‘satisfied’ patient were evaluated. RESULTS: During 0-6 hpostoperative periods, the incidence of PONV and mean pain score (40.0% vs. 51.8% and 4.2 vs. 4.8 in Group R and O, respectively) were not significantly different between groups. During 6-24 hpostoperative periods, the incidence of PONV (18.8% vs. 44.7%), severe emesis (11.8% vs. 29.4%) and mean pain score (2.8 vs. 3.8) were significantly lower in Group R compared to Group O, respectively. Overall, the incidence of PONV (42.4% vs. 63.5%) and severe emesis (20.0% vs. 43.5%) were significantly lower in Group R compared to Group O. The incidence of ‘satisfied’ patient during 0-6 h and 6-24 postoperative periods (55.3% vs. 28.2% and 82.4% vs. 58.8%) were significantly higher in Group R compared to Group O. CONCLUSION: Robotic thyroidectomy reduced the incidence and severity of PONV compared to open thyroidectomy during 0-24 postopertive periods.","abstract_html":"BACKGROUND: Open thyroidectomy is associated with a high incidence of postoperative nausea and vomiting (PONV) of up to 70 %. Use of the recently introduced robot-assisted endoscopic thyroidectomy using a gasless transaxillary approach has been increasing because of its several advantages over open thyroidectomy. This study compared the incidence of PONV in the womenwho underwent open or robot-assisted thyroidectomy. MATERIALS AND METHODS: This prospective, double-blinded study enrolled 170 women 20-60 years of age who were scheduled for conventional open thyroidectomy (Group O) or robot-assisted thyroidectomy (Group R). A standard anesthetic technique, including sevoflurane and air in oxygen, was used. During 0-24 postoperative periods, the presence and severity of PONV (nausea, retching/vomiting), severity of pain, need for rescue antiemetics and the incidence ‘satisfied’ patient were evaluated. RESULTS: During 0-6 hpostoperative periods, the incidence of PONV and mean pain score (40.0% vs. 51.8% and 4.2 vs. 4.8 in Group R and O, respectively) were not significantly different between groups. During 6-24 hpostoperative periods, the incidence of PONV (18.8% vs. 44.7%), severe emesis (11.8% vs. 29.4%) and mean pain score (2.8 vs. 3.8) were significantly lower in Group R compared to Group O, respectively. Overall, the incidence of PONV (42.4% vs. 63.5%) and severe emesis (20.0% vs. 43.5%) were significantly lower in Group R compared to Group O. The incidence of ‘satisfied’ patient during 0-6 h and 6-24 postoperative periods (55.3% vs. 28.2% and 82.4% vs. 58.8%) were significantly higher in Group R compared to Group O. CONCLUSION: Robotic thyroidectomy reduced the incidence and severity of PONV compared to open thyroidectomy during 0-24 postopertive periods.","abstract_has_math":false,"creators":["이, 아람"],"institution":null,"degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":["이, 숙영","대학원 의학과","107323"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2013,"date_issued":"2013-12-19","date_published":"2013-12-19","updated_at":"2026-07-24T00:51:44Z","subjects":["Robotic·Open thyroidectomy","Postoperative nausea and vomiting","로봇 갑상선 절제술","고전적 갑상선 절제술","수술 후 오심","구토"],"languages":["en"],"rights":[],"rights_urls":[],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000014912","000000014912"],"render_values":[{"text":"http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000014912","href":"http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000014912","code":true},{"text":"000000014912","href":null,"code":true}]}]},"links":{"outbound_url":"http://repository.ajou.ac.kr/handle/201003/8655","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["이, 숙영","대학원 의학과","107323","이, 아람"]},{"key":"dc:creator","label":"Author","values":["이, 아람"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2013-12-19","2013"]},{"key":"dc:type","label":"Dc Type","values":["Thesis","Theses"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Robotic·Open thyroidectomy","Postoperative nausea and vomiting","로봇 갑상선 절제술","고전적 갑상선 절제술","수술 후 오심","구토"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["en"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["http://repository.ajou.ac.kr/handle/201003/8655","http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000014912","000000014912"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["BACKGROUND: Open thyroidectomy is associated with a high incidence of postoperative nausea and vomiting (PONV) of up to 70 %. Use of the recently introduced robot-assisted endoscopic thyroidectomy using a gasless transaxillary approach has been increasing because of its several advantages over open thyroidectomy. This study compared the incidence of PONV in the womenwho underwent open or robot-assisted thyroidectomy. MATERIALS AND METHODS: This prospective, double-blinded study enrolled 170 women 20-60 years of age who were scheduled for conventional open thyroidectomy (Group O) or robot-assisted thyroidectomy (Group R). A standard anesthetic technique, including sevoflurane and air in oxygen, was used. During 0-24 postoperative periods, the presence and severity of PONV (nausea, retching/vomiting), severity of pain, need for rescue antiemetics and the incidence ‘satisfied’ patient were evaluated. RESULTS: During 0-6 hpostoperative periods, the incidence of PONV and mean pain score (40.0% vs. 51.8% and 4.2 vs. 4.8 in Group R and O, respectively) were not significantly different between groups. During 6-24 hpostoperative periods, the incidence of PONV (18.8% vs. 44.7%), severe emesis (11.8% vs. 29.4%) and mean pain score (2.8 vs. 3.8) were significantly lower in Group R compared to Group O, respectively. Overall, the incidence of PONV (42.4% vs. 63.5%) and severe emesis (20.0% vs. 43.5%) were significantly lower in Group R compared to Group O. The incidence of ‘satisfied’ patient during 0-6 h and 6-24 postoperative periods (55.3% vs. 28.2% and 82.4% vs. 58.8%) were significantly higher in Group R compared to Group O. CONCLUSION: Robotic thyroidectomy reduced the incidence and severity of PONV compared to open thyroidectomy during 0-24 postopertive periods.","연구 목적: 고전적 갑상선 절제술은 수술 후 오심, 구토의 발생 빈도가 70%에 이른다. 최근 소개된 가스를 사용하지 않고, 겨드랑이로 접근하는 Robotassisted 내시경적 갑상선 절제술은고전적 갑상선 절제술에 비해 여러 장점이 있어,증가하고 있다. 본 연구는 고전적 갑상선 절제술과 Robot-assisted 내시경적 갑상선 절제술을 시행 받는 여성 환자에서 술 후 오심, 구토의 발생 빈도를 비교하였다. 연구 방법: 후향적, 이중 맹검의 방법으로 고전적 갑상선 절제술 (그룹 O) 또는 Robot-assisted 내시경적 갑상선 절제술 (그룹 R) 을 시행 받는 20~60세 170명의 여성을 선출하였다. Sevoflurane과 Air, oxygen을 이용하여 표준적인 마취를 시행하였다. 수술 후 0-24시간 동안 PONV의 발생률과 강도, (오심,구역/구토) 통증의 강도, 추가 항 구토제의 필요 여부, 만족도를 평가하였다. 결과: 수술 후 0-6시간 동안 오심, 구토의 발생률과 평균 통증 점수는 (40% vs. 51.8% 그리고 4.2 vs. 4.8 각각 그룹 R, 그룹 O) 두 그룹 간 유의한 차이는 없었다. 수술 후 6-24시간 동안 오심, 구토의 발생률(18.8% vs. 44.7%), 심한 구토 (11.8% vs. 29.4%), 평균 통증 점수 (2.8 vs 3.8)는 그룹 R에서 그룹 O 보다 유의하게 낮았다. 수술 후 0-6시간과 6-24시간의 만족도는 (55.3% vs. 28.2% 그리고 82.4% vs. 58.8%) 그룹 O와 비교하여 그룹 R에서 유의하게 높았다. 결론: Robot-assisted 내시경적 갑상선 절제술이 고전적 갑상선 절제술과 비교하였을 때 수술 후 0-24시간 동안 오심, 구토의 발생률과 강도를 감소시킨다.","ABSTRACT i TABLE OF CONTENTS ii LIST OF TABLES iii I. INTRODUCTION 1 II. MATERIALS AND METHODS 2 A. MATERIALS 2 B. METHODS 2 C. STATISTICS 3 III. RESULTS 5 IV. DISCUSSION 10 V. CONCLUSION 13 REFERENCES 14 국문요약 17","Master"]},{"key":"dc:title","label":"Title","values":["Comparison of the incidence of postoperative nausea and vomiting Between women undergoing open or robot-assisted thyroidectomy","여성 환자에서 고전적 갑상선 절제술과 로봇-내시경적 갑상선 절제술 후 오심 구토 발생 빈도 비교"]}]}],"canonical_facts":{"dc:contributor":["이, 숙영","대학원 의학과","107323","이, 아람"],"dc:creator":["이, 아람"],"dc:date":["2013-12-19","2013"],"dc:description":["BACKGROUND: Open thyroidectomy is associated with a high incidence of postoperative nausea and vomiting (PONV) of up to 70 %. Use of the recently introduced robot-assisted endoscopic thyroidectomy using a gasless transaxillary approach has been increasing because of its several advantages over open thyroidectomy. This study compared the incidence of PONV in the womenwho underwent open or robot-assisted thyroidectomy. MATERIALS AND METHODS: This prospective, double-blinded study enrolled 170 women 20-60 years of age who were scheduled for conventional open thyroidectomy (Group O) or robot-assisted thyroidectomy (Group R). A standard anesthetic technique, including sevoflurane and air in oxygen, was used. During 0-24 postoperative periods, the presence and severity of PONV (nausea, retching/vomiting), severity of pain, need for rescue antiemetics and the incidence ‘satisfied’ patient were evaluated. RESULTS: During 0-6 hpostoperative periods, the incidence of PONV and mean pain score (40.0% vs. 51.8% and 4.2 vs. 4.8 in Group R and O, respectively) were not significantly different between groups. During 6-24 hpostoperative periods, the incidence of PONV (18.8% vs. 44.7%), severe emesis (11.8% vs. 29.4%) and mean pain score (2.8 vs. 3.8) were significantly lower in Group R compared to Group O, respectively. Overall, the incidence of PONV (42.4% vs. 63.5%) and severe emesis (20.0% vs. 43.5%) were significantly lower in Group R compared to Group O. The incidence of ‘satisfied’ patient during 0-6 h and 6-24 postoperative periods (55.3% vs. 28.2% and 82.4% vs. 58.8%) were significantly higher in Group R compared to Group O. CONCLUSION: Robotic thyroidectomy reduced the incidence and severity of PONV compared to open thyroidectomy during 0-24 postopertive periods.","연구 목적: 고전적 갑상선 절제술은 수술 후 오심, 구토의 발생 빈도가 70%에 이른다. 최근 소개된 가스를 사용하지 않고, 겨드랑이로 접근하는 Robotassisted 내시경적 갑상선 절제술은고전적 갑상선 절제술에 비해 여러 장점이 있어,증가하고 있다. 본 연구는 고전적 갑상선 절제술과 Robot-assisted 내시경적 갑상선 절제술을 시행 받는 여성 환자에서 술 후 오심, 구토의 발생 빈도를 비교하였다. 연구 방법: 후향적, 이중 맹검의 방법으로 고전적 갑상선 절제술 (그룹 O) 또는 Robot-assisted 내시경적 갑상선 절제술 (그룹 R) 을 시행 받는 20~60세 170명의 여성을 선출하였다. Sevoflurane과 Air, oxygen을 이용하여 표준적인 마취를 시행하였다. 수술 후 0-24시간 동안 PONV의 발생률과 강도, (오심,구역/구토) 통증의 강도, 추가 항 구토제의 필요 여부, 만족도를 평가하였다. 결과: 수술 후 0-6시간 동안 오심, 구토의 발생률과 평균 통증 점수는 (40% vs. 51.8% 그리고 4.2 vs. 4.8 각각 그룹 R, 그룹 O) 두 그룹 간 유의한 차이는 없었다. 수술 후 6-24시간 동안 오심, 구토의 발생률(18.8% vs. 44.7%), 심한 구토 (11.8% vs. 29.4%), 평균 통증 점수 (2.8 vs 3.8)는 그룹 R에서 그룹 O 보다 유의하게 낮았다. 수술 후 0-6시간과 6-24시간의 만족도는 (55.3% vs. 28.2% 그리고 82.4% vs. 58.8%) 그룹 O와 비교하여 그룹 R에서 유의하게 높았다. 결론: Robot-assisted 내시경적 갑상선 절제술이 고전적 갑상선 절제술과 비교하였을 때 수술 후 0-24시간 동안 오심, 구토의 발생률과 강도를 감소시킨다.","ABSTRACT i TABLE OF CONTENTS ii LIST OF TABLES iii I. INTRODUCTION 1 II. MATERIALS AND METHODS 2 A. MATERIALS 2 B. METHODS 2 C. STATISTICS 3 III. RESULTS 5 IV. DISCUSSION 10 V. CONCLUSION 13 REFERENCES 14 국문요약 17","Master"],"dc:identifier":["http://repository.ajou.ac.kr/handle/201003/8655","http://dcoll.ajou.ac.kr:9080/dcollection/jsp/common/DcLoOrgPer.jsp?sItemId=000000014912","000000014912"],"dc:language":["en"],"dc:subject":["Robotic·Open thyroidectomy","Postoperative nausea and vomiting","로봇 갑상선 절제술","고전적 갑상선 절제술","수술 후 오심","구토"],"dc:title":["Comparison of the incidence of postoperative nausea and vomiting Between women undergoing open or robot-assisted thyroidectomy","여성 환자에서 고전적 갑상선 절제술과 로봇-내시경적 갑상선 절제술 후 오심 구토 발생 빈도 비교"],"dc:type":["Thesis","Theses"]},"updated_at":"2026-07-24T00:51:44Z"}