Application of LigaSure small jaw instrument vs the Harmonic FOCUS in open total thyroidecto-my

doi:10.3877/cma.j.issn.1674-0793.2016.01.010

Abstract

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.

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References 8

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项目		F组	L组	统计值	P值
例数		91	98	?	?
性别（例）		?	?	0.021	0.884
?	男	25	26	?	?
?	女	66	72	?	?
平均年龄（ ± s，岁）		45.5±1.8	46.8±1.7	5.106	0.377
平均病程（ ± s，月）		32.1±5.2	33.8±7.9	1.733	0.862
甲状腺重量（ ± s，g）		183.6±9.4	191.2±8.6	5.805	0.690
病理类型		?	?	0.149	0.928
?	结节性甲状腺肿	68	71	?	?
?	毒性结节性甲状腺肿	9	10	?	?
?	结节性甲状腺肿合并	14	17	?	?
?	慢性淋巴细胞性甲状腺炎	?	?	?	?

项目		F组	L组	统计值	P值
例数		91	98	?	?
性别（例）		?	?	0.021	0.884
?	男	25	26	?	?
?	女	66	72	?	?
平均年龄（ ± s，岁）		45.5±1.8	46.8±1.7	5.106	0.377
平均病程（ ± s，月）		32.1±5.2	33.8±7.9	1.733	0.862
甲状腺重量（ ± s，g）		183.6±9.4	191.2±8.6	5.805	0.690
病理类型		?	?	0.149	0.928
?	结节性甲状腺肿	68	71	?	?
?	毒性结节性甲状腺肿	9	10	?	?
?	结节性甲状腺肿合并	14	17	?	?
?	慢性淋巴细胞性甲状腺炎	?	?	?	?

观察指标		F组	L组	统计值	P值
切除甲状腺时间（ ± s，min）		48.5±9.1	35.3±8.6	10.252	0.004
术中出血量（ ± s，ml）		24.5±3.7	22.9±4.2	2.770	0.927
术后出血量（ ± s，ml）		17.3±2.3	16.7±2.5	1.173	0.959
术后并发症［例(%)］		?	?	?	?
?	血肿	1(1.10)	1(1.02)	0.003	0.958
?	甲状旁腺功能减退	8(8.79)	9(9.18)	0.009	0.925
?	喉返神经性声嘶	2(2.20)	1(1.02)	0.419	0.518
?	饮水呛咳	3(3.30)	0(0)	3.283	0.070

观察指标		F组	L组	统计值	P值
切除甲状腺时间（ ± s，min）		48.5±9.1	35.3±8.6	10.252	0.004
术中出血量（ ± s，ml）		24.5±3.7	22.9±4.2	2.770	0.927
术后出血量（ ± s，ml）		17.3±2.3	16.7±2.5	1.173	0.959
术后并发症［例(%)］		?	?	?	?
?	血肿	1(1.10)	1(1.02)	0.003	0.958
?	甲状旁腺功能减退	8(8.79)	9(9.18)	0.009	0.925
?	喉返神经性声嘶	2(2.20)	1(1.02)	0.419	0.518
?	饮水呛咳	3(3.30)	0(0)	3.283	0.070

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