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Updated: Aug 16, 2026
A Novel Contralateral Axillo-Bilateral-Breast Approach for Endoscopic Thyroid Surgery
Published on: July 28, 2026
Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in
Andreas Manouras1, Emmanuel E Lagoudianakis, Pantelis T Antonakis
1First Department of Propaedeutic Surgery, Hippocrateion Hospital, Athens Medical School, Q. Sophia114, 11527, Athens, Greece. amanouras@hippocratio.gr
Background:
Total thyroidectomy is associated with minimal morbidity. The electrothermal bipolar vessel sealing system is an adjunct to the surgical technique, recently made available to thyroid surgery.
Methods:
This is a prospective randomized trial of total thyroidectomies performed in single unit from July 2003 to May 2004. Patients were randomly assigned in two groups: group A (n = 90), total thyroidectomy with the classic suture ligation technique; and group B (n = 94), total thyroidectomy with the use of the electrothermal bipolar vessel sealing system.
Results:
Operative time was significantly reduced in group B by 14 minutes (mean difference, 14.3 +/- 4.2 minutes, 95% CI, 5.88-22.6 minutes). No statistically significant differences were found in postoperative complications, postoperative serum calcium measurements, or hospital stay between the two groups.
Conclusions:
The electrothermal bipolar vessel sealing system is a safe and useful, time-saving adjunct for total thyroidectomy.
