A safety-based comparison of pure LigaSure use and LigaSure-tie technique in total thyroidectomy.

摘要: BACKGROUND AND AIM Sutureless total thyroidectomy by using vessel sealing devices has been shown to be safe in some recent clinical studies. However, surgeons are still concerned about the use of these energy vicinity there current laryngeal nerve and parathyroid glands. The objective this study was investigate effects pure LigaSure on postoperative complications discuss pertinent literature. METHODS A 456 patients having undergone a operation between June 2009 March 2011 were included study. Data prospectively collected retrospectively evaluated. Patients separated into 2 groups. Group L comprised 182 where onlyLigaSure used, group LT consisted 274 ligation used recurrent glands, all other parts surgery. Patient's blood calcium values checked preoperatively at 24, 48, 72 hours. Groups assessed terms demographic properties, thyroid pathology, duration operation, complications. RESULTS similar respect duration, gland pathology. No mortality rate recorded. Laboratory hypocalcemia higher (P 0.003), but no significant difference identified groups symptomatic hypocalcemia.No permanent or injury developed any two CONCLUSIONS Pure for may increase laboratory rate, not hypocalcemia. Hemorrhage related low Ligations places close delicate anatomic structures did cause longer operative times safer option thyroidectomy.