Seung Ook Hwang 1 , Jin Hyang Jung 1 , Ho Yong Park 1 , Wan Wook Kim 2 Show Affiliations »
Abstract
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OBJECTIVES: LigaSure Small Jaw (®) (LSJ ) was recently developed and applied to thyroid surgery along with Harmonic Focus(® ) (HF). We compared the 2 devices in open total thyroidectomy for papillary thyroid carcinoma (PTC ). STUDY DESIGN: A prospective, randomized study. SETTING: Tertiary care center. METHODS: This prospective, randomized study included 126 patients enrolled between December 2011 and June 2012 . The numbers of patients in the LSJ group and the HF group were 64 and 62, respectively. Operative times, drain output, parathyroid status, complications, laboratory data, hospital stay, and analgesia requirements were analyzed. RESULTS: Operation time, parathyroid status, postoperative complications including hypocalcemia, oral calcium supplement, calcium, parathyroid hormone, usage count of painkiller, and hospital stay were not different among the 2 groups. Ionized calcium on postoperative days 1, 2, and 10 was higher in the LSJ group (P = .04, P = .04, P = .01), and drain output was lower in the LSJ group (106.8 vs 123.6 mL, P = .01). CONCLUSIONS: Open thyroidectomy for PTC using the HF or the LSJ was safe and effective and was not associated with any increase in complications . Surgical outcomes and operative morbidity were equivalent between the 2 groups. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
RCT Entities: Population
Interventions
Outcomes
OBJECTIVES: LigaSure Small Jaw(®) (LSJ ) was recently developed and applied to thyroid surgery along with Harmonic Focus(®) (HF). We compared the 2 devices in open total thyroidectomy for papillary thyroid carcinoma (PTC). STUDY DESIGN: A prospective, randomized study. SETTING: Tertiary care center. METHODS: This prospective, randomized study included 126 patients enrolled between December 2011 and June 2012. The numbers of patients in the LSJ group and the HF group were 64 and 62, respectively. Operative times, drain output, parathyroid status, complications, laboratory data, hospital stay, and analgesia requirements were analyzed. RESULTS: Operation time, parathyroid status, postoperative complications including hypocalcemia , oral calcium supplement, calcium , parathyroid hormone , usage count of painkiller, and hospital stay were not different among the 2 groups. Ionized calcium on postoperative days 1, 2, and 10 was higher in the LSJ group (P = .04, P = .04, P = .01), and drain output was lower in the LSJ group (106.8 vs 123.6 mL, P = .01). CONCLUSIONS: Open thyroidectomy for PTC using the HF or the LSJ was safe and effective and was not associated with any increase in complications. Surgical outcomes and operative morbidity were equivalent between the 2 groups. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
Entities: Chemical
Disease
Species
Keywords:
Energy-Based Device; Harmonic Focus; Small Jaw; comparison; open thyroidectomy; thyroid carcinoma
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Year: 2014
PMID： 24671461 DOI： 10.1177/0194599814527730
Source DB: PubMed Journal: Otolaryngol Head Neck Surg ISSN： 0194-5998 Impact factor: 3.497