Total Tiroidektomide Harmonic Scalpel Fayda Sağlıyor mu?

Öz

Amaç: Tiroidektomide konvansiyonel tekniğin KT yıllardır güvenle uygulandığı bilinmektedir. Ancak teknolojinin ilerlemesi tiroid cerrahisinde de değişikliklere yol açmaktadır. Harmonic Scalpel HS , bu yeni teknolojik cihazlardan biri olup elektrik enerjisini ultrasonik enerjiye çevirerek uç kısmındaki bıçakların yüksek frekanslı titreşmesiyle çalışır. Koagülasyon ve kesme işleminin aynı anda yapılmasına olanak sağlayarak diseksiyon kolaylığı sağlar. Bu çalışmanın amacı, total tiroidektomilerde HS kullanımının KT göre bir avantaj sağlayıp sağlamadığını araştırmaktır.Gereç ve Yöntemler: Akdeniz Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı’nda, 02.11.2009 ve 21.07.2010 tarihleri arasında, total tiroidektomi yapılan ardışık 200 hasta çalışmaya alındı. Hastalar randomize olarak iki gruba ayrıldı. Birinci grupta HS kullanılarak tirodektomi yapılan 100 hasta, diğer ikinci grupta ise KT uygulanarak tiroidektomi yapılan 100 hasta yer aldı. Her iki grup arasında hastaların demografi k verileri, ameliyat ve toplam anestezi süreleri, insizyon uzunlukları, drenaj miktarları, komplikasyon oranları, İİAB ve histopatolojik sonuçları karşılaştırıldı.Bulgular: HS ile yapılan tiroidektomilerde, ameliyat süresinin ve anestezi süresinin KT grubuna göre 16 dk kısa olduğu görüldü p

Anahtar Kelimeler

• Total tiroidektomi, Harmonic scalpel, Konvansiyonel teknik

Is Harmonic Scalpel Benefi cial in Total Thyroidectomy?

Abstract

Objective: The aim of this study was to investigate whether the use of the Harmonic Scalpel HS provides advantages in total thyroidectomy compared with the conventional technique CT .Material and Methods: A total of 200 consecutive patients who underwent total thyroidectomy at the Department of General Surgery of the Akdeniz University Faculty of Medicine between 02.11.2009 and 21.07.2010 were included in the study. The patients were randomly divided into two groups. A total of 100 patients who underwent thyroidectomy using HS comprised the fi rst group and the remaining 100 patients who underwent thyroidectomy with the use of CT comprised the second group. The demographic data of the patients, operation and total anesthesia times, incision length, drainage amount, complication rate, and the FNAB fi ne needle aspiration biopsy and histopathology results of both groups were compared.Results: Operation and anesthesia times were found to be 16 minutes shorter in thyroidectomies performed using HS compared to the CT group p

Keywords

• Total thyroidectomy, Harmonic scalpel, Conventional technique

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