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Updated: May 23, 2026

Transoral Robotic Total Thyroidectomy and Bilateral Central Regional Lymph Node Dissection for Papillary Thyroid Carcinoma
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Nerve sparing sutureless total thyroidectomy. Preliminary study.

Domenico Parmeggiani1, Massimo De Falco, Nicola Avenia

  • 1Department of Gerontology, Geriatrics and Metabolic Disease, Second University of Naples, Naples, Italy. d_parmeggiani@yahoo.it

Annali Italiani Di Chirurgia
|April 3, 2012
PubMed
Summary
This summary is machine-generated.

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New nerve monitoring (NIM) and advanced coagulation devices significantly reduce laryngeal nerve injury during thyroid surgery. These technologies offer comparable or lower costs and shorter recovery times than traditional methods.

Area of Science:

  • Endocrine Surgery
  • Surgical Technology
  • Neurosurgery

Background:

  • Thyroidectomy carries risks of laryngeal nerve injury and hypocalcemia.
  • Traditional electrocautery and suturing techniques have limitations in preventing these complications.

Purpose of the Study:

  • To assess the benefits of intraoperative nerve monitoring (NIM) and advanced coagulation devices in thyroid surgery.
  • To compare the efficacy and safety of new technologies against traditional methods.

Main Methods:

  • Retrospective analysis of 440 thyroidectomies (Jan 2004-Feb 2006).
  • Comparison of three groups: traditional monopolar electrocautery, bipolar electrothermal coagulator (Ligasure-Precise), and sutureless thyroidectomy with NIM.
  • Analysis of operative time, bleeding, hospital stay, nerve injury, hypocalcemia, and costs.

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Main Results:

  • The Ligasure-Precise group showed a reduced incidence of transient hypocalcemia.
  • The NIM group demonstrated a significant reduction in both transient and permanent laryngeal nerve palsy.
  • No major complications differed significantly between the traditional and Ligasure groups.

Conclusions:

  • Continuous intraoperative nerve monitoring (NIM) significantly reduces laryngeal nerve injury during thyroidectomy.
  • Advanced coagulation devices like Ligasure-Precise may reduce transient hypocalcemia.
  • NIM combined with advanced coagulation offers comparable or lower costs and potentially fewer complications than traditional total thyroidectomy.