Thyroidectomy with LigaSure

June 2011
Surgery Today;Jun2011, Vol. 41 Issue 6, p767
Academic Journal
Purpose: A new method for ensuring hemostasis during thyroid surgery has recently been introduced. This technique, electrothermal (LigaSure) and ultrasound blood vessel sealing, is still experimental. The aim of the present study was to evaluate the applications and efficacy of LigaSure by analyzing the duration of the surgery and the rate of complications of the surgical procedure. Methods: A total of 23 patients who underwent the LigaSure operation (n group) were analyzed in a prospective nonrandomized/partly randomized clinical study, and were compared with patients who underwent treatment using the conventional (ligature) surgical technique. Results: At our institutions, 187 patients were treated surgically for thyroid disease in 2006, and 23 of these patients were treated using LigaSure. The complication rate in the patients treated with LigaSure (n: 4.3%) was lower than those who received conventional ligature surgery. However, given the small number of patients, this difference was not statistically significant (retrospective group n: 10.7%; nonrandomized group n: 9.8%; and randomized group n: 9.1%). The length of surgery in the LigaSure group (n = 65 ± 3 min) was significantly shorter ( P < 0.001) compared with both nonrandomized (n = 71 ± 6 min) and randomized (n = 70 ± 4 min) patients who received a conventional ligature. Conclusions: The application of LigaSure using meticulous surgical technique provides a new option for a safe thyroidectomy. Moreover, the duration of the LigaSure procedure is significantly shorter, and there are fewer complications as compared with the classic surgical thyroidectomy technique.


Related Articles

  • Bipolar thermofusion vessel sealing system (TVS) versus conventional vessel ligation (CVL) in thyroid surgery–results of a prospective study. Alesina, Pier Francesco; Rolfs, Thomas; Walz, Martin K. // Langenbeck's Archives of Surgery;Feb2010, Vol. 395 Issue 2, p115 

    One of the keystones in surgery of the thyroid gland is accurate hemostasis. This can be achieved by conventional ligations or new instruments as harmonic scissors or bipolar devices. In the present study, we report our experience with a new bipolar thermofusion vessel sealing system (TVS)...

  • A Comparison of Two Methods of Hemostasis in Thyroidectomy. MCNALLY, MICHAEL M.; AGLE, STEVEN C.; WILLIAMS, R. FREDRICK; POFAHL, WALTER E. // American Surgeon;Nov2009, Vol. 75 Issue 11, p1073 

    Safe thyroid surgery requires meticulous hemostasis. The objective of the current study is to compare the effectiveness and safety of ultrasonic dissection (UD) and electronic vessel sealing (EVS) in patients undergoing thyroidectomy. A retrospective analysis of a prospectively maintained...

  • Use of Ligasure in Thyroidectomy Procedures: Results of a Prospective Comparative Study. Kirdak, Turkay; Korun, Nusret; Ozguc, Halil // World Journal of Surgery;Jun2005, Vol. 29 Issue 6, p771 

    The thyroidectomy procedure requires many manipulations to achieve prompt hemostasis. This study assessed whether the outcomes of thyroidectomy using the Ligasure electrothermal vessel sealer were comparable with the conventional suture-ligation technique. We prospectively evaluated 58...

  • The technique of thyroidectomy. Wheeler, Malcolm H. // Journal of the Royal Society of Medicine (Supplement);Jan1998, Vol. 91 Issue 33, p12 

    The article focuses on the technique of thyroidectomy. The pre-operative preparation before performing the technique of unilateral total thyroid lobectomy is discussed. For cancer and gross multinodular disease, total thyroidectomy is usually performed. The technical standards for the procedure...

  • THE EXTERNAL LARYNGEAL NERVE IN THYROID SURGERY: THE 'NO MORE NEGLECTED' NERVE. Kumar Mishra, Anand; Temadari, Hema; Singh, Nikhil; Mishra, S. K.; Agarwal, Amit // Indian Journal of Medical Sciences;Jan2007, Vol. 61 Issue 1, p3 

    AIMS: To describe a novel surgical technique of 'lateralization' of superior pole to identify and save external branch of superior laryngeal nerve (EBSLN) during thyroidectomy. SETTINGS AND DESIGN: Prospective, nonrandomized at a tertiary care hospital in a specialized unit. MATERIAL AND...

  • A simple home-made self-retaining retractor for thyroidectomy. Tam-Lin Chow; Tony Chan; Siu-King Law; Siu-Ho Lam // Canadian Journal of Surgery;Dec2009, Vol. 52 Issue 6, p523 

    The article discusses the concept of a surgical technique that uses a simple home-made self-retaining retractor for thyroidectomy. The medical equipment is said to have been made out of K-wire which is available in a hospital's operating room. It is noted that the surgery then can be done...

  • Tiroidektomi sonrası geç dönemde ortaya çıkan hayatı tehdit edici kanama. Mayir, Burhan; Doğan, Uğur; Koç, Ümit; Ayşe Arduçoğlu Merter; Oruç, Mehmet Tahir // Journal of Dialog in Endocrinology / Endokrinolide Diyalog Dergi;2013, Vol. 10 Issue 4, p142 

    Postoperative bleeding is a rare cause of mortality after thyroid surgery. Most of life threatening bleeding ocuur after 4 to 6 hours after surgery, rarely can be seen after 24 hours. In this article we present a case in whom we experienced life threatening bleeding late after thyroidectomy....

  • Effect of Video-Assisted Thyroidectomy on the Risk of Early Postthyroidectomy Voice and Swallowing Symptoms. Terris, David J. // World Journal of Surgery;May2008, Vol. 32 Issue 5, p701 

    The author comments on the study conducted by C. P. Lombardi and colleagues which investigates the effects of video-assisted thyroidectomy (MIVAT) on the risk of early postthyroidectomy voice and swallowing symptoms. He asserts that the researchers have gone a step further in providing Level I...

  • Effect of Hospital Volume of Thyroidectomies on Outcomes Following Substernal Thyroidectomy. Pieracci, Fredric M.; Fahey III, Thomas J. // World Journal of Surgery;May2008, Vol. 32 Issue 5, p740 

    Substernal thyroidectomy (ST), as compared to conventional, cervical thyroidectomy, is a technically demanding procedure that is associated with increased morbidity and mortality. We tested the hypothesis that outcomes following ST are improved at centers that perform a high volume of...


Read the Article


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

Try another library?
Sign out of this library

Other Topics