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Transoral Endoscopic Thyroidectomy Vestibular Approach for Thyroid Lobectomy
Published on: May 12, 2023
[The harmonic scalpel in conventional thyroid surgery. Possibilities and advantages]
1Klinik für Allgemein-,Viszeral und Gefässchirugie, Medizinische Fakultät der Otto-von-Guericke-Universität, Magdeburg. rene.mantke@medizin.uni-magdeburg.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|August 21, 2003
Summary
The harmonic scalpel significantly reduces operative time in thyroid surgery compared to conventional methods. This advanced surgical tool offers a safe and efficient alternative for thyroidectomies without increasing complications.
Area of Science:
- Surgical Innovation
- Minimally Invasive Techniques
Background:
- The harmonic scalpel is a recognized surgical tool with benefits in blood and time savings.
- Its application in thyroid surgery is explored for enhanced efficiency.
Purpose of the Study:
- To evaluate the efficacy and safety of the harmonic scalpel in thyroid surgery.
- To compare operative time and complications against conventional surgical techniques.
Main Methods:
- A prospective, nonrandomized study involving 32 patients.
- Comparison between a conventional surgery group (ligature and HF electrosurgery) and an ultracision (harmonic scalpel) group.
- Analysis of operating time, resected thyroid tissue weight, and complications.
Main Results:
- Mean operative time was significantly shorter in the harmonic scalpel group (64.68+/-23.83 min) versus the conventional group (143.12+/-25.24 min).
- No significant differences in complications or patient characteristics were observed between the two groups.
Conclusions:
- The harmonic scalpel is a safe and effective instrument for thyroid surgery.
- Its use leads to reduced operative time without an increase in adverse events, supporting its adoption in thyroidectomies.
