Comparison of LigaSure and the Conventional Method in Total Thyroidectomy: A Single Surgeon’s Experience and Review of the Literature that LigaSure is not superior to Suture Ligation in Total Thyroidectomy

Year 2019, , 77 - 83, 01.01.2019

Gokhan Demiral Fikret Aksoy

https://doi.org/10.5455/umj.20191022104415

Abstract

Background: The objective of this study was to compare the results of the LigaSure® Precise vessel sealing system and conventional suture ligation CSL for total thyroidectomy in terms of complication rates, hospitalization, and surgical time. Materials and Methods: This non-randomized retrospective review included 118 consecutive patients. All patients with nodular or multinodular goiter underwent total thyroidectomy by a single surgeon. The patients were divided into two subgroups: CSL was used as the conventional method together with monopolar and bipolar cautery group 1 , and LigaSure® Precise L was used in group 2 as a sealing system for all surrounding tissues of the thyroid gland. Results: No statistically significant differences were found between the two techniques with respect to age, sex, surgical time, hospitalization, and postoperative complications p>0.05 . Conclusion: Sutureless thyroid operations with Ligasure can be safely performed without the presence of higher complication risks but does not reduce surgical time or hospitalization.

Keywords

LigaSure, conventional suture ligation, complication, total thyroidectomy

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