Related Experiment Video
Updated: Jun 22, 2026
05:10
Gasless Endoscopic Thyroidectomy via the Trans-Axillary Approach
Published on: September 15, 2023
Use of the harmonic scalpel in thyroidectomy
David J Parker1, Katherine Krupa, Rachel Esler
1Princess Alexandra Hospital, Brisbane, Australia.
ANZ Journal of Surgery
|July 2, 2009
Summary
The harmonic scalpel significantly reduces thyroidectomy operating times without increasing complications. This surgical tool offers an efficient and safe method for thyroid gland removal, benefiting both surgeons and patients.
Area of Science:
- Surgical Oncology
- Endocrine Surgery
Background:
- Thyroidectomy demands precise dissection and effective hemostasis.
- The harmonic scalpel offers potential advantages in hemostatic coagulation and vessel division.
Purpose of the Study:
- To evaluate the efficacy and safety of the harmonic scalpel in thyroidectomy.
- To compare operative times and complication rates with conventional methods.
Main Methods:
- Prospective study of 88 thyroidectomies using the harmonic scalpel.
- Comparison with a retrospective cohort of 57 thyroidectomies performed without the device.
- Data collection included operative times and post-operative complications.
Main Results:
- Harmonic scalpel use decreased operative time by 20 min (22.5%) for hemithyroidectomy.
- Total thyroidectomy operative time reduced by 13.5 min (12%) with the harmonic scalpel.
- No increase in post-operative complication rates was observed.
Conclusions:
- The harmonic scalpel is an efficient and safe tool for thyroidectomy.
- It significantly reduces surgical operating time.
- Its use is associated with favorable safety profiles.
