The safety of the Harmonic® FOCUS in open thyroidectomy: A prospective, randomized study comparing the Harmonic® FOCUS and traditional suture ligation (knot and tie) technique

INTERNATIONAL JOURNAL OF SURGERY

卷:12

Article

Zanghi, Antonio¹  Cavallaro, Andrea¹  Di Vita, Maria¹  Cardi, Francesco¹  Di Mattia, Paolo¹  Piccolo, Gaetano¹  Barbera, Giuseppina¹  Urso, Mario¹  Cappellani, Alessandro¹ 

[1] Univ Catania, Sch Med, Policlin Vittorio Emanuele Hosp, Gen Surg & Senol Unit,Dept Surg, I-95123 Catania, Italy

关键词: Thyroidectomy;    Sutureless;    Harmonic;    Focus;    Ultracision;    Knot tie technique;   

DOI  :  10.1016/j.ijsu.2014.05.028

来源: Elsevier

【 摘 要 】

Since Kocher and Billroth refined an acceptable technique, the thyroidectomy has become one of the most frequent procedures in endocrine surgery and bilateral total thyroidectomy is performed in the majority of thyroid diseases. This work evaluated the use of the Harmonic (R) FOCUS and traditional suture ligation (knot and tie) technique in a prospective, randomized study of open thyroidectomy. Eighty two patients were randomized and divided into two similarly sized groups: the Harmonic (R) FOCUS group (F group) and traditional group (T group). The use of the harmonic FOCUS shows some statistically significant advantages limited to a few intraoperative parameters: surgical time and volume of blood loss. The surgical time was significantly shorter in F group than in the T group (105+/- 27 min vs 143+/- 32 respectively; p < 0.05). Intraoperative volume blood loss was significantly more in the T group than in the F group (36+/- 23 ml vs. 24+/- 18; p < 0.05). The postoperative parameters (volume of drainage fluid, serum calcium at 12 and 48 h, hypocalcemia, wound complication, RLN palsy, postoperative pain and length of hospital stay) showed no statistical difference. The Harmonic Focus may provide a cost-effective option only in high volume centers where reducing operative time may balance the number of daily procedures. (C) 2014 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

【 授权许可】

Free