A Comparative Study Between Total Thyroidectomy with Ligasure and Total Conventional Thyroidectomy
International Journal of Medical Science |
© 2024 by SSRG - IJMS Journal |
Volume 11 Issue 3 |
Year of Publication : 2024 |
Authors : Ali Alnnaser, Jamal Sulaiman, Ali Alloush |
How to Cite?
Ali Alnnaser, Jamal Sulaiman, Ali Alloush, "A Comparative Study Between Total Thyroidectomy with Ligasure and Total Conventional Thyroidectomy," SSRG International Journal of Medical Science, vol. 11, no. 3, pp. 1-4, 2024. Crossref, https://doi.org/10.14445/23939117/IJMS-V11I3P101
Abstract:
Background: Total thyroidectomy is a common surgical procedure. Some reports demonstrate the efficacy of the Ligasure system in terms of reduction of thyroidectomy operation time. Objective: This study aims to evaluate the results of total thyroidectomy by using Ligasure compared with conventional technique. Patients and Methods: An analytic study compares two surgical techniques for one year (2021- 2022) at Tishreen University Hospital in Lattakia-Syria. Patients are randomly allocated into two groups according to the surgical technique: conventional group (CG) (35 cases) and Ligasure group (LG) (15 cases). Results: The population of 50 patients is predominantly female (60%). There are no significant differences between the two groups regarding demographic variables: Age and gender (p>0.05). The duration of surgery is significantly shorter in (LG) (90.1±6.4 versus 110.8±5.3, p:0.0001). There are significant differences between the two groups regarding duration of drain placement <48 hours (80% in (LG) versus 51.4% in (CG), p:0.0001). The rate of paracetamol consumption is significantly less in (LG) (4.22±1.2 g versus 6.02±1.1 g, p:0.01). In a 48-hour postoperative period, the rate of bleeding is significantly shorter in (LG) (51.23 ± 7.2 versus 67.21± 9.3 ml, p: 0.0001). There are no significant differences between the two groups regarding of mean length of hospitalization and occurrence of complications in (LG) versus (CG). Conclusion: The current study demonstrates favorable results in the efficiency of the Ligasure technique for thyroidectomy, with a significantly shorter duration of operation, rate of bleeding and removal of the drain in a 48-hour postoperative period and pain relief.
Keywords:
Thyroidectomy, Ligasure, Conventional, Techniques, Complications.
References:
[1] Zuhal Ozgur et al., “Anatomical and Surgical Aspects of the Lobes of the Thyroid Glands,” European Archives of Oto-RhinoLaryngology, vol. 268, pp. 1357-1363, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[2] Richard D. Bliss, Paul G. Gauger, and Leigh W. Delbridge, “Surgeon’s Approach to the Thyroid Gland: Surgical Anatomy and Importance of Technique,” World Journal of Surgery, vol. 24, no. 8, pp. 891-897, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[3] Sally E. Carty et al., “Consensus Statement of the Terminology and Classification of Central Neck Dissection for Thyroid Cancer: The American Thyroid Association Surgery Working Group with Participation from the American Association of Endocrine Surgeons, American Academy of Otolaryngology—Head and Neck Surgery, and American Head and Neck Society,” Thyroid, vol. 19, no. 11, 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[4] Jennifer Rogers-Stevane, and Gordon L. Kauffman, “A Historical Perspective on Surgery of the Thyroid and Parathyroid Glands,” Otolaryngologic Clinics of North America, vol. 41, no. 6, pp. 1059-1067, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[5] Kepal N. Patel et al., “The American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults,” Annals of Surgery, vol. 271, no. 3, pp. e21-e93, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[6] Amy Y. Chen et al., “American Thyroid Association Statement on Optimal Surgical Management of Goiter,” Thyroid, vol. 24, no. 2, pp. 181-189, 2014.
[CrossRef] [Google Scholar] [Publisher Link]
[7] L. Rosato et al., “Diagnostic, Therapeutic and Health Care Management Protocol in Thyroid Surgery: A Position Statement of the Italian Association of Endocrine Surgery Units (U.E.C. CLUB),” Journal of Endocrinological Investigation, vol. 39, pp. 939-953, 2016.
[CrossRef] [Google Scholar] [Publisher Link]
[8] Laurent Brunaud et al., “Incision Length for Standard Thyroidectomy and Parathyroidectomy: When Is It Minimally Invasive?,” Archives of Surgery, vol. 138, no. 10, pp. 1140-1143, 2003.
[CrossRef] [Google Scholar] [Publisher Link]
[9] Ashok R. Shaha, “Revision Thyroid Surgery-Technical Considerations,” Otolaryngologic Clinics of North America, vol. 41, no. 6, pp. 1169-1183, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[10] Ahmad M. Eltelety, and David J. Terris, “Neck Dissection in the Surgical Treatment of Thyroid Cancer,” Endocrinology and Metabolism Clinics, vol. 48, no. 1, pp. 143-151, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[11] John C. Watkinson et al., “Fifteen Years, experience in Thyroid Surgery,” The Annals of The Royal College of Surgeons of England, vol. 92, no. 7, 2010.
[CrossRef] [Google Scholar] [Publisher Link]
[12] Scott Pinchot, Herbert Chen, and Rebecca Sippel, “Incisions and Exposure of the Neck for Thyroidectomy and Parathyroidectomy,” Operative Techniques in General Surgery, vol. 10, no. 2, pp. 63-76, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[13] Elizabeth G. Grubbs et al., “Recent Advances in Thyroid Cancer, In Brief,” Current Problems in Surgery, vol. 45, no. 3, pp. 149-151, 2008.
[CrossRef] [Google Scholar] [Publisher Link]
[14] Myriam Loyo, Ralph P. Tufano, and Christine G. Gourin, “National Trends in Thyroid Surgery and the Effect of Volume on Short-Term Outcomes,” Laryngoscope, vol. 123, no. 8, pp. 2056-2063, 2013.
[CrossRef] [Google Scholar] [Publisher Link]
[15] Iain J. Nixon et al., “Surgical Management of Metastases to the Thyroid Gland,” Annals of Surgical Oncology, vol. 18, pp. 800-804, 2011.
[CrossRef] [Google Scholar] [Publisher Link]
[16] Benjamin R. Roman, Gregory W. Randolph, and Dipti Kamani, “Conventional Thyroidectomy in the Treatment of Primary Thyroid Cancer,” Endocrinology and Metabolism Clinics of North America, vol. 48, no. 1, pp. 125-141, 2019.
[CrossRef] [Google Scholar] [Publisher Link]
[17] M. Riegler, and E. Cosentini, “Update on LigaSure®/Atlas® Vessel Sealing Technology in General Surgery,” European Surgery, vol. 36, pp. 85-88, 2004.
[CrossRef] [Google Scholar] [Publisher Link]
[18] Sally E. Carty et al., “American Thyroid Association on the Essential Elements of Interdisciplinary Communication of Perioperative Information for Patients Undergoing Thyroid Cancer Surgery,” Thyroid, vol. 22, no. 4, 2012.
[CrossRef] [Google Scholar] [Publisher Link]
[19] Kepal N. Patel et al., “Executive Summary of the American Association of Endocrine Surgeons Guidelines for the Definitive Surgical Management of Thyroid Disease in Adults,” Annals of Surgery, vol. 271, no. 3, pp. 399-410, 2020.
[CrossRef] [Google Scholar] [Publisher Link]
[20] Turkay Kirdak, Nusret Korun, and Halil Ozguc, “Use of Ligasure in Thyroidectomy Procedures: Results of a Prospective Comparative Study,” World Journal of Surgery, vol. 29, no. 6, pp. 771–774, 2005.
[CrossRef] [Google Scholar] [Publisher Link]
[21] Bahri Çakabay et al., “LigaSure versus Clamp-and-Tie in Thyroidectomy: A Single-Center Experience,” Advances in Therapy, vol. 26, pp. 1035-1041, 2009.
[CrossRef] [Google Scholar] [Publisher Link]
[22] Ahmed H. Khafagy, and Ibrahim Abdelnaby, “Total Thyroidectomy: Ligasure versus Clamp & Knot Technique for Intraoperative Hemostasis,” Egyptian Journal of Ear, Nose, Throat and Allied Sciences, vol. 14, no. 2, pp. 59–65, 2013.
[CrossRef] [Google Scholar] [Publisher Link]
[23] S.A. Ammar et al., “Comparative Study between Ligasure and Conventional Vessel Ligation in Thyroidectomy “Randomized-Controlled Study”,” The Egyptian Journal of Hospital Medicine, vol. 88, no. 1, pp. 3464-3469, 2022.
[CrossRef] [Google Scholar] [Publisher Link]
[24] C. Molnar et al., “Total Thyroidectomy with LigaSure Small Jaw versus Conventional Thyroidectomy - a Clinical Study,” Chirurgia, vol. 109, no. 5, pp. 608-612, 2014.
[Google Scholar] [Publisher Link]
[25] Yoann Pons et al., “Comparison of Ligasure Vessel Sealing System, Harmonic Scalpel, and Conventional Hemostasis in Total Thyroidectomy,” Otolaryngology Head and Neck Surgery, vol. 141, no. 4, pp. 496-501, 2009.
[CrossRef] [Google Scholar] [Publisher Link]