Abstract:
Objective To compare the application of LigaSure small jaw instrument (LSJI) ver-sus Harmonic FOCUS in total thyroidectomy.
Methods The clinical data of 189 patients undergoing to-tal thyroidectomy from June 2013 to October 2013 in Thyroid Surgery Department were analyzed retro-spectively. The patients were divided into L (LSIJ) group and F (FOCUS) group according to the assisstant instrument during operation. The mean operative time to remove thyroid gland and postoperative complica-tions (such as hematoma, recurrent laryngeal nerve injury, drinking cough and hypocalcemia) were com-pared between the two groups.
Results The mean operative time of L group and F group was (35.3±8.6) min and (48.5±9.1) min, respectively. Student's t-test showed that using LSJI in total thyroidectomy was signif-icantly associated with shorter operative time (P<0.05). Oppositely, hematoma in or after operation, com-plications of hypoparathyroidism, recurrent laryngeal nerve injury and drinking cough between two groups showed no statistically significant difference.
Conclusion Both LigaSure small jaw instrument and Har-monic FOCUS are safe and effective for open total thyroidectomy, while LigaSure small jaw instruent is more efficient to remove thyroid gland.
Key words:
Thyroidectomy,
Hypoparathyroidism,
Recurrent laryngeal nerve,
Hematoma,
Hemor-rhage
Miaoyun Long, Dingyuan Luo, Xinzhi Peng, Mingqing Huang, Kai Huang, Shaojian Lin, Jiayu Wu, Honghao Li. Application of LigaSure small jaw instrument vs the Harmonic FOCUS in open total thyroidecto-my[J]. Chinese Archives of General Surgery(Electronic Edition), 2016, 10(01): 53-55.