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Monobloc Total Thyroidectomy Using Sealing Devices: Preliminary Results and Comparative Analysis.
Chirurgia (Bucharest, Romania : 1990)
|November 6, 2019
Summary
This study compared three surgical instruments for thyroidectomy, finding no significant differences in patient outcomes or complications. However, one instrument, LigaSureTM Small Jaw, demonstrated a shorter operating time.
Area of Science:
- Surgical Innovation
- Thyroid Surgery
- Medical Device Technology
Background:
- The pursuit of optimal hemostasis in thyroidectomy has driven the development of specialized surgical instruments.
- Instruments like LigaSureTM Small Jaw, ThunderbeatTM Open Fine Jaw, and HarmonicTM Focus are indicated for thyroid surgery to ensure safe hemostasis and sealing.
Purpose of the Study:
- To evaluate and present the initial outcomes of using three distinct energy-sealing devices during monobloc thyroidectomy.
- To compare the efficacy and safety of LigaSureTM Small Jaw, ThunderbeatTM Open Fine Jaw, and HarmonicTM Focus in thyroid surgery.
Main Methods:
- A prospective study was conducted from January 2014 to July 2019, involving patients undergoing thyroidectomy by a single surgeon.
- Patients were divided into three groups based on the instrument used: LigaSureTM Small Jaw (Group 1), ThunderbeatTM Open Fine Jaw (Group 2), and HarmonicTM Focus (Group 3).
- Key metrics analyzed included surgical duration, hospitalization length, early postoperative complications, voice alteration, and acute respiratory failure.
Main Results:
- No statistically significant differences were found among the three groups regarding patient demographics, pathological diagnoses, postoperative complications, or hospitalization duration.
- Clinical outcomes were comparable across all groups, indicating similar efficacy in terms of patient recovery and safety.
- The LigaSureTM Small Jaw group (Group 1) exhibited a statistically shorter operative time compared to the other two groups.
Conclusions:
- Newer surgical instruments offer advantages such as reduced operative time and improved surgical field visualization.
- These devices contribute to minimizing smoke production during thyroidectomy procedures, enhancing surgeon and patient safety.
- While all evaluated instruments are effective, LigaSureTM Small Jaw showed a benefit in terms of surgical efficiency.
