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FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized
Yun-fei Duan, Wei Xue, Feng Zhu
1Department of General Surgery, The Third Affiliated Hospital of Soochow University, 185 Juqian Street, Changzhou, Jiangsu 213003, China. czsdl@sina.com.
Summary
The FOCUS Harmonic Scalpel significantly reduces operative time and hospital stay in total thyroidectomy. It also lowers the incidence of symptomatic hypocalcemia compared to the conventional clamp-and-tie method.
Area of Science:
- Endocrine Surgery
- Surgical Technology
- Thyroid Procedures
Background:
- Effective hemostasis is critical for successful thyroid surgery and patient recovery.
- This study evaluates the FOCUS Harmonic Scalpel for hemostasis in open total thyroidectomy.
Purpose of the Study:
- To assess the efficacy of the FOCUS Harmonic Scalpel compared to the conventional clamp-and-tie technique.
- To analyze differences in surgical time, complications, and hospital stay.
Main Methods:
- A randomized study involving 778 patients undergoing open total thyroidectomy.
- Group I: Conventional clamp-and-tie technique. Group II: FOCUS Harmonic Scalpel exclusively.
- Comparison of surgical duration, complication rates, and length of hospital stay.
Main Results:
- Surgical time was significantly shorter with the FOCUS Harmonic Scalpel (79 min vs. 125 min).
- Symptomatic hypocalcemia occurred less frequently in the FOCUS Harmonic Scalpel group (3.6% vs. 6.94%).
- Mean hospital stay was reduced with the FOCUS Harmonic Scalpel (2.6 days vs. 2.9 days).
Conclusions:
- The FOCUS Harmonic Scalpel shortens operative time and hospital stay in total thyroidectomy.
- It reduces symptomatic hypocalcemia incidence without affecting transient hypoparathyroidism or recurrent nerve injury.
- The FOCUS Harmonic Scalpel is a safe and reliable alternative to the clamp-and-tie technique.
