TITLE

Ligasure versus Ultracision® in thyroid surgery: a prospective randomized study

AUTHOR(S)
Sartori, Paola Vicenza; De Fina, Sergio; Colombo, Giovanni; Pugliese, Francesco; Romano, Fabrizio; Cesana, Giovanni; Uggeri, Franco
PUB. DATE
September 2008
SOURCE
Langenbeck's Archives of Surgery;Sep2008, Vol. 393 Issue 5, p655
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
New hemostatic technologies (NT) are often employed in thyroid surgery in the effort to reduce operating time and complications. The aim of this study is to compare three different hemostatic techniques. This is a prospective randomized study. There were 150 patients, aged 56 ± 14 years, randomized for total thyroidectomy with conventional technique (CT), Ligasure vessel sealing system (LI) or Harmonic Scalpel (HS) at the university surgical department. One hundred thirty-five patients had benign diseases; 15 had malignancies. Mean postoperative hospital stay was 2.6 days. Mean operation time was 113 ± 31 min; in HS patients, it was significantly shorter ( p < 0.001). Morbidity was 43.3%; mortality was nil. Morbidity was significantly different between CT and NT groups ( p = 0.0002); HS and LI groups had a higher morbidity ( p = 0.0001 and p = 0.02, respectively). Mean postoperative calcemia was 1.12 ± 0.1 mmol/l with a significant difference between groups; NT patients had a significantly lower calcemia ( p < 0.05). There was no difference in recurrent laryngeal nerve palsies and in intraoperative blood losses ( p = ns). According to our experience, the only real advantage of new hemostatic technologies was a shorter operation time with HS.
ACCESSION #
34178567

 

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics