Energy Devices in Minimally Invasive Thyroidectomy

摘要: An accurate haemostasis is essential during any surgical procedure. This problem well known for thyroid surgery since over one century when Billroth, considered of the best surgeons in Europe, reported a mortality 40% on series 20 patients 1869. Few decades later, hands Theodor Kocher, thyroidectomy developed into safe operation with rate 0.5% by 1898 (Richard 1990). The key these extraordinary results was technique he introduced which first ligated major arteries and veins followed identifying isolating recurrent laryngeal nerve (Kocher 1883). Since that time, suture ligation has continued to be gold standard obtaining haemostasis. introduction minimally invasive poses break this 100-year-old rule. impossibility ligate obvious purely endoscopic operations such as neck, thoracic axillary approach (Henry Segab 2006; Strik et al. 2007; Kang 2009), but also video-assisted due limited working space permits conventional ligatures only after extraction lobe through skin incision (Miccoli 2006). Many instruments are now available use have been demonstrated at least knot-and-tie technique.