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2010 | 82 | 2 | 53-58
Tytuł artykułu

Evaluation of the Harmonic Scalpel Use in the Surgical Treatment of Thyroid Diseases

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
There are different methods to reach hemostasis in the operative field. Recently the harmonic scalpel in surgery has been analyzed.The aim of the study was to compare the advantages in terms of operative time of thyroidectomies performed using the harmonic scalpel versus conventional suture ligation technique. Another aim of the study was to evaluate complications in both groups.Material and methods. From January 1, 2005, to December 31, 2006, 43 patients underwent subtotal thyroid resection using the harmonic scalpel for hemostasis (group 1). They were compared with a group of 46 patients who underwent conventional thyroidectomy with hemostasis achieved by following electrocoagulation and ligation (group 2). The study analyzed the duration of the procedure, considering the volume of the operated thyroid gland and extent of the thyroidectomy in both groups.Results. The duration of the thyroidectomies ranged between 30 and 160 minutes. The comparison in the mentioned groups showed that the harmonic scalpel shortened the duration of the procedure. An iterative procedure was applied with the step of 1 ml of the goiter volume, to check if this effect was present in whole volume range of the operated thyroid.Analysis in subgroups demonstrated that only in case of goiter size <50 ml the use of the harmonic scalpel clinically significant shortened the time of operation.Conclusions. The use of the harmonic scalpel shortened the time of thyroidectomy, as only in patients with the smaller goiter volume.
Słowa kluczowe
Wydawca

Rocznik
Tom
82
Numer
2
Strony
53-58
Opis fizyczny
Daty
wydano
2010-02-01
online
2010-03-18
Twórcy
  • Chair and Department of General and Endocrine Surgery, Collegium Medicum Nicolaus, Copernicus University in Bydgoszcz
  • Chair and Department of General and Endocrine Surgery, Collegium Medicum Nicolaus, Copernicus University in Bydgoszcz
Bibliografia
  • Miccoli P, Minuto MN, Orlandini C et al.: Ultrasonography estimated thyroid volume: a prospective study about its reliability. Thyroid 2006; 16(1): 37-39.[Crossref]
  • Kang SK, Kunanandam T, Clark L: Prospective, case-control study of surgical efficiency of ultrasonic shear (‘harmonic scalpel’) thyroidectomy compared with conventional thyroidectomy. J Laryngol Otol 2000; 122(11): 1194-96.[WoS]
  • Kilic M, Keskek M, Ertan T et al.: A prospective randomized trial comparing the harmonic scalpel with conventional knot tying in thyroidectomy. Adv Ther 2007; 24(3): 632-38.[Crossref]
  • Cordon C, Fajardo R, Ramirez J et al.: A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 2005; 137(3): 337-41.
  • Ortega J, Sala C, Flor B et al.: Efficacy and costeffectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial. J Laparoendosc Adv Surg Tech 2004; 14(1): 9-12.
  • Leonard DS, Timon C: Prospective trial of the ultrasonic dissector in thyroid surgery. Head Neck 2008; 30(7): 904-08.[WoS][Crossref][PubMed]
  • Miccoli P, Berti P, Dionigi G et al.: Randomized controlled trial of harmonic scalpel use during thyroidectomy. Arch Otolaryngol Head Neck Surg 2006; 132(10): 1069-73.
  • Koh YW, Park JH, Lee SW et al.: The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study. Ann Surg 2008; 247(6): 945-49.[WoS]
  • Koutsoumanis K, Koutras AS, Drimousis PG et al.: The use of a harmonic scalpel in thyroid surgery: report of a 3-year experience. Am J Surg 2007; 193(6): 693-96.
  • Siperstein AE, Berber E, Morkoyun E: The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery. Arch Surg 2002; 137(2): 137-42.[PubMed]
  • Manouras A, Markogiannakis H, Koutras AS et al.: Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation. Am J Surg 2008; 195(1): 48-52.[WoS]
  • Shemen L: Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases. Otolaryngol Head Neck Surg 2002; 127(4): 284-88.
  • Yildirim O, Umit T, Ebru M et al.: Ultrasonic harmonic scalpel in total thyroidectomies. Adv Ther 2008; 25(3): 260-65.[WoS][Crossref]
  • Hallgrimsson P, Loven L, Westerdahl J et al.: Use of the harmonic scalpel versus conventional haemostatic techniques in patients with Grave disease undergoing total thyroidectomy: a prospective randomised controlled trial. Langenbecks. Arch Surg 2008; 393(5): 675-80.[WoS]
  • Sartori PV, De Fina S, Colombo G et al.: Ligasure versus Ultracision(R) in thyroid surgery: a prospective randomized study. Langenbecks Arch Surg 2008; 393(5): 655-58.
  • Lombardi CP, Raffaelli M, Cicchetti A et al.:. The use of "harmonic scalpel" versus "knot tying" for conventional "open" thyroidectomy: results of a prospective randomized study. Langenbecks Arch Surg 2008; 393(5): 627-31.
  • Mantke R, Pross M, Klose S et al.: Einsatz des Ultraschallskalpells in der konventionellen Schilddrüsenchirurgie. Möglichkeiten und Vorteile. Chirurg 2003; 74(8): 739-42.
  • Hambley A, Hebda PA, Abell E et al.: Wound healing of skin incisions produced by ultrasonically vibrating knife, scalpel, electrosurgery, and carbon dioxide laser. J Dermatol Surg Oncol 1988; 14: 1213-17.[Crossref]
  • Armstrong DN, Ambrose WL, Schertzer ME et al.: Harmonic scalpel vs electrocautery hemorrhoidectomy: a prospective evaluation. Dis Colon Rectum 2001; 44: 558-64.[Crossref]
  • Kanehira E, Omura K, Kinoshita T et al.: How secure are the arteries occluded by a newly developed ultrasonically activated device? Surg Endosc 1999; 13: 340-42.[Crossref]
  • Voutilainen PE, Haglund CH: Ultrasonically activated shears in thyroidectomies: a randomized trial. Ann Surg 2000; 231: 322-28.
Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_2478_v10035-010-0009-x
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