Harmonic focus in total thyroidectomy plus level III-IV and VI dissection: a prospective randomized study

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• 作者：Qingqing He (1)
  Dayong Zhuang (1)
  Luming Zheng (1)
  Peng Zhou (1)
  Jixin Chai (1)
  Zhen Lv (1)
  
• 关键词：papillary thyroid microcarcinoma ; thyroid surgery ; Harmonic Focus ; total thyroidectomy ; haemostasis
• 刊名：World Journal of Surgical Oncology
• 出版年：2011
• 出版时间：December 2011
• 年：2011
• 卷：9
• 期：1
• 全文大小：292KB
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• 作者单位：Qingqing He (1)
  Dayong Zhuang (1)
  Luming Zheng (1)
  Peng Zhou (1)
  Jixin Chai (1)
  Zhen Lv (1)
  
  1. Department of Thyroid and Breast Surgery, Jinan Military General Hospital, Jinan, 250031, the People’s Republic of China
  

文摘

The aim of this study was to compare operating time, postoperative outcomes, and surgical complications of total thyroidectomy plus level III-IV and VI dissection between the no-tie technique using the Harmonic Focus and classic suture ligation for hemostasis. Fifty-four patients underwent total thyroidectomy plus level III-IV and VI dissection by classic suture ligation and 51 patients by the Harmonic Focus. There was obvious distinction as to the operating time between the Focus and classic group (102.8 and 150.1 minutes, respectively, P < 0.05). Drainage volume (202.7 ± 187.0 mL vs 299.7 ± 201.4 mL, P < 0.05) were significantly lower in the Focus group. Transient hypoparathyroidism had no statistically significant difference between the groups (17.6% vs 18.5%, P > 0 .05). No patient experienced nerve injury or permanent hypocalcemia. The use of Harmonic Focus for the control of thyroid vessels during thyroid surgery is reliable and safe. The device can offer extraordinary capabilities for delicate tissue grasping and dissection.