Molnar C, Voidazan S, Rad C C, Neagoe V I, Roşca C, Barna L, Copotoiu C
Chirurgia (Bucur). 2014 Sep-Oct;109(5):608-12.
The emergence of LigaSure device in surgical practice brings some real benefits in thyroid surgery. UsingLigaSure Small Jaw device in total thyroidectomy is an important step in thyroid surgery. The aim of this study is to present the initial experience of Surgical Clinic I of Targu Mures staff in terms of total thyroidectomy using this procedure, without ligatures compared to the conventional technique with ligatures.
The study included 20 consecutive patients (19 females and one male) who have undergone total thyroidectomy in Surgical Clinic I of the Emergency County Hospital Targu Mures, between September 2012 - February 2013. Group I included 10 patients who underwent total thyroidectomty using the LigaSure Small Jaw device (without ligatures) while the second group included 10 patients in whom total thyroidectomy was performed by classical procedure (using vascular ligatures). The two groups were compared using statistical analysis following the next parameters: the thyroid pathology, operation time, number of hospitalization days,analgesia and immediate postoperative complications.
This method provides a statistically significant decrease of the operative time and hospitalization days.
Using LigaSure Small Jaw device in thyroid surgery is a safe procedure with little complications rate.
LigaSure设备在外科手术中的出现给甲状腺手术带来了一些实际益处。在全甲状腺切除术中使用LigaSure小颌设备是甲状腺手术中的重要一步。本研究的目的是介绍特尔古穆列什第一外科诊所工作人员在采用该手术方式进行全甲状腺切除术(不使用结扎线)与传统结扎线技术相比的初步经验。
该研究纳入了20例连续患者(19例女性和1例男性),他们于2012年9月至2013年2月期间在特尔古穆列什县急救医院第一外科诊所接受了全甲状腺切除术。第一组包括10例使用LigaSure小颌设备(不使用结扎线)进行全甲状腺切除术的患者,而第二组包括10例采用传统手术方式(使用血管结扎线)进行全甲状腺切除术的患者。根据以下参数进行统计分析对两组进行比较:甲状腺病理、手术时间、住院天数、镇痛情况及术后即刻并发症。
该方法在统计学上显著缩短了手术时间和住院天数。
在甲状腺手术中使用LigaSure小颌设备是一种安全的手术方式,并发症发生率较低。