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Use of Ligasure in Thyroidectomy Procedures: Results of a Prospective Comparative Study

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Abstract

The thyroidectomy procedure requires many manupulations 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 consecutive patients who underwent thyroidectomy. Patients were allocated into two groups according to their preference. There were 30 patients in the Ligasure group and 28 patients in the conventional surgery group. Complications, operating time, and hospital stay were compared between the two groups and suture-ligations performed in the Ligasure group were recorded. The age, sex, and indications were similar in the two groups (p > 0.05). Complication rates and hospital stays did not show any difference according to the techniques used. Operating time was shorter in the hemithyroidectomy and total thyroidectomy patients of the Ligasure group (mean ± SD: 77.38 ± 13.71 vs. 99.80 ± 12.53 minutes, p = 0.005; and 102.50 ± 16.69 vs.128.89 ± 19.74 minutes, p = 0.010). The mean ± SD number of suture-ligations for each patient in the Ligasure group was 1.83 ± 2.12. Thyroid surgery using the Ligasure is safe, and its complication rates are comparable to these found with the conventional surgical technique. Use of the Ligasure during hemithyroidectomy and total tyhroidectomy operations provides a significantly shorter operating time.

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References

  1. JA Sosa HM Bowman JM Tielsch et al. (1998) ArticleTitleThe importance of surgeon experience for clinical and economic outcomes from thyroidectomy Ann. Surg. 228 320–330 Occurrence Handle10.1097/00000658-199809000-00005 Occurrence Handle9742915

    Article  PubMed  Google Scholar 

  2. S Sengupta DR Webb (2001) ArticleTitleUse of a computer-controlled bipolar diathermy system in radical prostatectomies and other open urological surgery ANZ J. Surg. 71 538–540 Occurrence Handle10.1046/j.1440-1622.2001.02186.x Occurrence Handle11527264

    Article  PubMed  Google Scholar 

  3. B Levy L Emery (2003) ArticleTitleRandomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy Obstet. Gynecol. 102 147–151 Occurrence Handle10.1016/S0029-7844(03)00405-8 Occurrence Handle12850621

    Article  PubMed  Google Scholar 

  4. WJ Lee TC Chen IR Lai et al. (2003) ArticleTitleRandomized clinical trial of Ligasure trade mark versus conventional surgery for extended gastric cancer resection Br. J. Surg. 90 1493–1496 Occurrence Handle10.1002/bjs.4362 Occurrence Handle14648726

    Article  PubMed  Google Scholar 

  5. F Romano R Caprotti C Franciosi et al. (2002) ArticleTitleLaparoscopic splenectomy using Ligasure: preliminary experience Surg. Endosc. 16 1608–1611 Occurrence Handle10.1007/s00464-001-9145-z Occurrence Handle11984666

    Article  PubMed  Google Scholar 

  6. DG Jayne I Botterill NS Ambrose et al. (2002) ArticleTitleRandomized clinical trial of Ligasure™ versus conventional diathermy for day-case haemorrhoidectomy Br. J. Surg. 89 428–432 Occurrence Handle10.1046/j.0007-1323.2002.02056.x Occurrence Handle11952582

    Article  PubMed  Google Scholar 

  7. BT Heniford BD Matthews RF Sing et al. (2001) ArticleTitleInitial results with an electrothermal bipolar vessel sealer Surg. Endosc. 15 799–801 Occurrence Handle10.1007/s004640080025 Occurrence Handle11443443

    Article  PubMed  Google Scholar 

  8. JS Kennedy PL Stranahan KD Taylor et al. (1998) ArticleTitleHigh-burst strength, feedback-controlled bipolar vessel sealing Surg. Endosc. 12 876–878 Occurrence Handle10.1007/s004649900733 Occurrence Handle9602010

    Article  PubMed  Google Scholar 

  9. N Korun C Asci T Yilmazlar et al. (1997) ArticleTitleTotal thyroidectomy or lobectomy in benign nodular disease of the thyroid: changing trends in surgery Int. Surg. 82 417–419 Occurrence Handle9412844

    PubMed  Google Scholar 

  10. L Sandonato C Cipolla G Gracefta et al. (2003) ArticleTitleBipolar electrothermic coagulation (Ligasure bipolar vessel sealing system) in thyroid surgery Chir. Ital. 55 411–415 Occurrence Handle12872578

    PubMed  Google Scholar 

  11. A Dror M Salim R Yoseph (2003) ArticleTitleHow I do it: sutureless thyroidectomy using electrothermal system; a new technique J. Laryngol. Otol. 117 198–201 Occurrence Handle10.1258/002221503321192502 Occurrence Handle12648376

    Article  PubMed  Google Scholar 

  12. AE Siperstein E Berber E Morkoyun (2002) ArticleTitleThe use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery Arch. Surg. 137 137–142 Occurrence Handle10.1001/archsurg.137.2.137 Occurrence Handle11822946

    Article  PubMed  Google Scholar 

  13. InstitutionalAuthorNameStatements of the American College of Surgeons (1999) ArticleTitle[ST-22] Statement on the surgeon and hepatitis Bull. Am. Coll. Surg. 84 21–24

    Google Scholar 

  14. PO Nystrom D Wittmann (2003) ArticleTitlePatient to surgeon infections: fact or fiction Br. J. Surg. 90 1315–1316 Occurrence Handle10.1002/bjs.4383 Occurrence Handle14598407

    Article  PubMed  Google Scholar 

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Correspondence to Turkay Kirdak M.D..

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Kirdak, T., Korun, N. & Ozguc, H. Use of Ligasure in Thyroidectomy Procedures: Results of a Prospective Comparative Study. World J. Surg. 29, 771–774 (2005). https://doi.org/10.1007/s00268-005-7788-y

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  • DOI: https://doi.org/10.1007/s00268-005-7788-y

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