Lachanas VA, Prokopakis EP, Mpenakis AA, Karatzanis AD, Velegrakis GA (2005) The use of ligasure vessel sealing system in thyroid surgery. Shen WT, Baumbusch MA, Kebebew E, Duh QY (2005) Use of the electrothermal vessel sealing system versus standard vessel ligation in thyroidectomy. Kiriakopoulos A, Tsakayannis D, Linos D (2004) Use of a diathermy system in thyroid surgery. Petrakis I, Kogerakis NE, Lasithiotakis KG, Vrachassotakis N, Chalkiadakis GE (2004) Ligasure versus clamp-and-tie thyroidectomy for benign nodular disease. Koutsoumanis K, Koutras AS, Drimousis PG, Stamou KM, Theodorou D, Katsaragakis S et al (2007) The use of a harmonic scalpel in thyroid surgery: report of a 3-year experience.
#Parathyroid surgery knot tying trial#
Miccoli P, Berti P, Dionigi Gian L, D’Agostino J, Orlandini C, Donatini G (2006) Randomized controlled trial of harmonic scalpel use during thyroidectomy. Terris DJ, Seybt MW, Gourin CG, Chin E (2006) Ultrasonic technology facilitates minimal thyroid surgery. Surg Endosc 16:663–666 doi: 10.1007/s0046-3Ĭordón C, Fajardo R, Ramírez J, Herrera MF (2005) A randomised, prospective, parallel group study comparing the harmonic scalpel to electrocautery in thyroidectomy. Miccoli P, Berti P, Raffaelli M, Materazzi G, Conte M, Galleri D (2002) Impact of the harmonic scalpel on the operation time during video-assisted thyroidectomy. Ortega J, Sala C, Flor B, Lledo S (2004) Efficacy and Cost-Effectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomised trial. Shemen L (2002) Thyroidectomy using the harmonic scalpel: analysis of 105 consecutive cases. Siperstein A, Berber E, Morkoyun E (2002) The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery. Voutilainen PE, Haglund CH (2000) Ultrasonically activated shears in thyroidectomies.
Meurisse M, Defechereux T, Maweja S, Degauque C, Vandelaer M, Hamoir E (2000) Evaluation de l’utilisation du dissecteur ultrasonique Ultracision en chirurgie thyroïdienne. Martin RR, Sbar A (2002) Regional anaesthesia and thyroidectomy: local anaesthesia for thyroidectomy. HS is a safe alternative to KT, allowing for a significant reduction of operative time without increasing complications rate and overall costs and probably better utilization of health resources.ĭuh QY (2003) Minimally invasive endocrine surgery: standard of treatment or hype? Surgery 134:849–857 doi: 10.1016/S0039-6060(03)00405-7ĭuh QY (2005) What’s new in general surgery: endocrine surgery. Overall, no significant difference was found between the two groups concerning the charges of the hospitalisation ( P = NS).
Conversely, drugs, personnel and operative room charges were significantly higher in KT group patients ( P < 0.001). The cost of the disposable materials is significantly higher in the HS group (420.1 ± 23.2 vs 137.8 ± 25.3 euros P < 0.001).
Mean operative time was significantly shorter in the HS group ( P < 0.001), as well as the total operative room occupation time ( P < 0.001). Two hundred patients scheduled for conventional total thyroidectomy (TT) were included in the study and randomly assigned to TT with the use of HS (HS group) or with knot tying technique (KT group). We evaluated the safety and cost-effectiveness of the harmonic scalpel (HS) during conventional “open” thyroidectomy (CT).
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