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01-04-2011 | Endocrine Tumors

Prospective Randomized Trial of Ligasure Versus Harmonic Hemostasis Technique in Thyroidectomy

Authors: Reza Rahbari, MD, Aarti Mathur, MD, Mio Kitano, MD, Marlon Guerrero, MD, Wen T. Shen, MD, Quan-Yang Duh, MD, Orlo H. Clark, MD, Electron Kebebew, MD

Published in: Annals of Surgical Oncology | Issue 4/2011

Abstract

Background

Two surgical devices have become popular in thyroid surgery: a bipolar energy sealing system (B) and ultrasonic coagulation (UC). Retrospective and prospective studies have demonstrated that the use of these surgical devices for thyroidectomy compared with conventional thyroidectomy (clamp-and-tie) techniques reduces operative time and cost. We conducted a prospective randomized clinical trial to determine if there is any difference in operative time and cost between B and UC.

Materials and Methods

A single-blinded prospective randomized controlled trial was conducted at a tertiary referral center. A total of 90 patients who required a thyroidectomy for thyroid cancer, thyroid nodules, or hyperthyroidism were randomized to either B or UC during thyroidectomy. The operative time and cost of thyroidectomy were compared between the two groups.

Results

There was no statistically significant difference in patient age, gender, body mass index, indication for thyroidectomy and thyroid gland weight between the two groups. There was no statistically significant difference in operating room cost or total cost for thyroidectomy between the B and UC groups. There was also no statistically significant difference in the operative time between the B and UC groups (187.6 vs. 184.2 min, P = 0.48) or in postoperative complication rates. The only statistically significant difference in total cost was between surgeons independent of the device used (P < 0.01).

Conclusions

In thyroid surgery, total cost and operative time were similar between the two surgical devices used.

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Title: Prospective Randomized Trial of Ligasure Versus Harmonic Hemostasis Technique in Thyroidectomy
Authors: Reza Rahbari, MD
Aarti Mathur, MD
Mio Kitano, MD
Marlon Guerrero, MD
Wen T. Shen, MD
Quan-Yang Duh, MD
Orlo H. Clark, MD
Electron Kebebew, MD
Publication date: 01-04-2011
Publisher: Springer-Verlag
Published in: Annals of Surgical Oncology / Issue 4/2011
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI: https://doi.org/10.1245/s10434-010-1251-5

At a glance: The STEP trials

Springer Medicine

Prospective Randomized Trial of Ligasure Versus Harmonic Hemostasis Technique in Thyroidectomy

Abstract

Background

Materials and Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Materials and Methods

Results

Conclusions

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