OBJECTIVE: To evaluate the effect of ultrasonic coagulator for thyroidectomy. METHODS: randomized controlled trials were searched in PubMed, EMBASE, Cochrane Library, SCI, Chinese Biomedical Database, China Academic Journals Full-Text Database, Chinese Scientific Journals Database, and China Online Journals. The authors evaluated the quality of included studies by Handbook 5.0.0, and analyzed data by Cochrane Collaboration's RevMan 5.0. RESULTS: A total of 11 RCTs with 1420 patients met the criteria. Between ultrasonic coagulator and conventional technique, there were significant differences in operative time of total thyroidectomy (P < .00001) and amount of intraoperative bleeding (P = .02). There were no significant differences in operative time of part thyroidectomy (P = .07), amount of postoperative drainage (P = .18), cases of transient hypocalcemia (P = .41), cases of transient recurrent nerve paresis (P = .21), and total cost in hospital (P = .08). CONCLUSIONS: Current studies demonstrate that ultrasonic coagulator has a significant reduction on the operating time of total thyroidectomy and the amount of intraoperative bleeding in thyroidectomy, without increasing complications and total cost in hospital.
OBJECTIVE: To evaluate the effect of ultrasonic coagulator for thyroidectomy. METHODS: randomized controlled trials were searched in PubMed, EMBASE, Cochrane Library, SCI, Chinese Biomedical Database, China Academic Journals Full-Text Database, Chinese Scientific Journals Database, and China Online Journals. The authors evaluated the quality of included studies by Handbook 5.0.0, and analyzed data by Cochrane Collaboration's RevMan 5.0. RESULTS: A total of 11 RCTs with 1420 patients met the criteria. Between ultrasonic coagulator and conventional technique, there were significant differences in operative time of total thyroidectomy (P < .00001) and amount of intraoperative bleeding (P = .02). There were no significant differences in operative time of part thyroidectomy (P = .07), amount of postoperative drainage (P = .18), cases of transient hypocalcemia (P = .41), cases of transient recurrent nerve paresis (P = .21), and total cost in hospital (P = .08). CONCLUSIONS: Current studies demonstrate that ultrasonic coagulator has a significant reduction on the operating time of total thyroidectomy and the amount of intraoperative bleeding in thyroidectomy, without increasing complications and total cost in hospital.
Authors: Pietro Contin; Käthe Gooßen; Kathrin Grummich; Katrin Jensen; Hubertus Schmitz-Winnenthal; Markus W Büchler; Markus K Diener Journal: Langenbecks Arch Surg Date: 2013-11-16 Impact factor: 3.445
Authors: Hang Cheng; Jeffrey W Clymer; Nicole C Ferko; Leena Patel; Ireena M Soleas; Chris G Cameron; Piet Hinoul Journal: Breast Cancer (Dove Med Press) Date: 2016-07-18
Authors: Hang Cheng; Jeffrey W Clymer; Rana A Qadeer; Nicole Ferko; Behnam Sadeghirad; Chris G Cameron; Joseph F Amaral Journal: Clinicoecon Outcomes Res Date: 2018-07-24