Korean J Endocr Surg.  2009 Jun;9(2):69-73. 10.16956/kjes.2009.9.2.69.

Thyroidectomy Using Ultrasonically Activated Shears; Prospective Randomized Study

• Kim WW
• Hu SM
• Kim SH
• Lee SK
• Lim HI
• Choi JH
• Kim S
• Lee JE
• Kim JH
• Kim JS
• Nam SJ
• Yang JH
• Choe JH

• KMID: 2375748
• DOI: http://doi.org/10.16956/kjes.2009.9.2.69

Abstract

PURPOSE
Adequate hemostasis in thyroidectomy is important to reduce postoperative complications including bleeding and hematoma. The object of this study was to evaluate the utility of thyroidectomy using ultrasonically activated shears.
METHODS
This was a prospective randomized controlled study. It was conducted on 95 patients who underwent total thyroidectomy between January and March 2009. Patients were divided into two groups according to operation method used: group A (n=49) underwent total thyroidectomy using ultrasonically activated shears, group B (n=46) involved the conventional clamp and tie maneuver. Comparisons included operation time, drain amount, hospitalization, postoperative complications and off-thyroglobulin.
RESULTS
The two groups had no significant differences regarding drain amount, hospitalization, postoperative complications and off-thyroglobulin. Operation time was statistically shorter in group A than group B (96.6±22.7 min vs 114.6±24.3 min) (P=.00).
CONCLUSION
Thyroidectomy using ultrasonically activated shears reduces operation time significantly, and enables a complete and safe operation without postoperative complications. We recommend the use of ultrasonically activated shears in thyroidectomy.

Keyword

Ultrasonically activated shears; Thyroidectomy; Operation time

MeSH Terms

Hematoma
Hemorrhage
Hemostasis
Hospitalization
Humans
Methods
Postoperative Complications
Prospective Studies*
Thyroidectomy*