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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

Yıl 2019, , 77 - 83, 01.01.2019
https://doi.org/10.5455/umj.20191022104415

Öz

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.

Kaynakça

  • 1. Lamberton GR, Hsi RS, Jin DH, Lindler TU, JellisonFC, Baldwin DD. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol. 2008; 22: 2307-2312
  • 2.Ding Z, Wable G, Rane A. Use of LigaSure bipolar diathermy system in vaginal hysterectomy. J Obstet Gynaecol 2005; 25: 49-51
  • 3. Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol 2003; 102: 147-51
  • 4.Person BI, Vivas DA, Ruiz D, Talcott M, Coad JE, Wexner SD. Comparison of four energy-based vascular sealing and cutting instruments: A porcine model. Surg Endosc 2008; 22: 534-8
  • 5.Rifaat M, Saber A, Hokkam EN. Total Versus Subtotal Thyroidectomy for Benign Multinodular Goiter: Outcome and Complications. J Curr Surg 2014;4:40-5
  • 6.Kiriakopoulos A, Dimitrios T. Use of a diathermy system in thyroid surgery. Arch Surg 2004; 139: 997-1000
  • 7.Challa. S, Sushama S. Sutureless thyroidectomy vasucular control using bipolar electrothermal cautery. J Evol Med Dent Sciences 2012; 1: 1083-6
  • 8.Musholt TJ. Total thyroidectomy for multinodular goiter. Chirurg 2010; 81: 603-6
  • 9.Aljuraibi W, Ahmed MR, Saber A. Use of Ligasure Sealing Versus Conventional Suture Ligation in Thyroidectomy Journal of Surgery 2016; 4: 34-8
  • 10.Bove A, Bongarzoni G, Palone G, Di Renzo R, Di Nicola M, Corradetti L, et al. Comparative study of an electrothermal bipolar vessel sealing system (LigaSure(R)), a harmonic curved shears (Harmonic Focus), and traditional technique in total thyroidectomy. Am Surg 2010; 76: E94–6
  • 11.Garas G, Okabayashi K, Ashrafian H, Shetty K, Palazzo F, Tolley N, et al. Which hemostatic device in thyroid surgery? a network metaanalysis of surgical technologies. Thyroid 2013; 23: 1138–50
  • 12.Kirdak T, Korun N, Ozguc H. Use of ligasure in thyroidectomy procedures: results of a prospective comparative study. World J Surg 2005; 29: 771–4
  • 13.Barbaros U, Erbil Y, Bozbora A, Deveci U, Aksakal N, Dinccag A, et al. The use of LigaSure in patients with hyperthyroidism. Langenbeck’s Archives of Surgery/ Deutsche Gesellschaft fur Chirurgie 2006; 391: 575–9
  • 14.Yao HS, Wang Q, Wang WJ, Ruan CP. Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation: a systematic review and metaanalysis. Arch Surg 2009; 144: 1167–74
  • 15.Petrakis IE, Kogerakis NE, Lasithiotakis KG, Vrachassotakis N, Chalkiadakis GE. LigaSure versus clamp-and-tie thyroidectomy for benign nodular disease. Head Neck 2004; 26: 903-9
  • 16.Hayward NJ, Grodski S, Yeung M, Johnson WR, Serpell J. Recurrent laryngeal nerve injury in thyroid surgery: a review. ANZ J Surg 2013; 83: 15–21
  • 17.Cakabay B, Sevinç MM, Gömceli I, Yenidogan E, Ulkü A, Koç S. LigaSure versus Clamp-and-Tie in Thyroidectomy: a Single-Center Experience. Adv Ther 2009; 26: 1035-41
  • 18.Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg 2004; 28: 271–6
  • 19.Bergenfelz A, Jansson S, Kristoffersson A, Mårtensson H, Reihnér E, Wallin G, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 2008; 393: 667–73
  • 20.Jeannon J-P, Orabi AA, Bruch GA, Abdalsalam HA, Simo R. Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review. Int J Clin Pract 2009; 63: 624–9
  • 21.Joliat GR, Guarnero V, Demartines N, Schweizer V, Matter M. Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Incidence and postoperative evolution assessment. Medicine 2017; 96: e6674
  • 22. Stager SV. Vocal fold paresis: etiology, clinical diagnosis and clinical management. Curr Opin Otolaryngol Head Neck Surg 2014; 22: 444–9
  • 23.Cordon C, Fajardo R, Ramirez J, Herrera MF. A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 2005; 137: 337–41
  • 24.Uludag M, Yetkin G, Citgez B, Yener F, Özkaynak M, Işgör A. Tiroidektomi uygulanan hastalarda geçici hipokalsemi gelişimini etkileyen faktörler. Endokrinolojide Diyalog 2009; 6: 141-6
  • 25. Seo ST, Chang JW, Jin J, Lim YC, Rha KS, Koo BS. Transient and permanent hypocalcemia after total thyroidectomy: Early predictive factors and long-term follow-up results. Surgery 2015; 158: 1492-9
  • 26. Sandonato L, Cipolla C, Graceffa G, Fricano S, Li Petri S, Prinzi G, et al. Bipolar electrothermic coagulation (ligasure bipolar vessel sealing system) in thyroid surgery. Chir Ital 2003; 55: 411–5
  • 27.Manouras A, Lagoudianakis EE, Antonakis PT, Filippakis GM, Markogiannakis H, Kekis PB. Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy. Head Neck 2005; 27: 959–62
  • 28.Cipolla C, Graceffa G, Sandonato L, Fricano S, Vieni S, Latteri MA. LigaSure in total thyroidectomy. Surg Today 2008; 38: 495-8
  • 29. Saint Marc O, Cogliandolo A, Piquard A,Fama F. LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study.Arch Surg 2007;142:150-7
  • 30.Marrazzo A, Taormina P, Gebbiab V, David M, Riili I, et al. Is sentinel lymph node biopsy more accurate than axillary dissection for staging nodal involvement in breast cancer patients? Chir Ital 2007;59, 693–9
  • 31.Parmeggiani U, Avenia N, De Falco M, Parmeggiani D, Pisaniello D, d'Ajello M et al. Major complications in thyroid surgery: utility of bipolar vessel sealing (LigaSure Precise). G Chi 2005; 26,387–94
  • 32.Joosten U, Brune E, Kersting JU. Risk factors and follow-up of recurrent laryngeal nerve paralysis after first surgeries of benign thyroid diseases. Results of a retrospective analysis of 1,556 patients. Zentralbl Chir 1997; 122:236-45.
  • 33.Wagner HE, Seiler C. Recurrent laryngeal nerve palsy after thyroid gland surgery. British Journal of Surgery 1994; 81: 226-8
Yıl 2019, , 77 - 83, 01.01.2019
https://doi.org/10.5455/umj.20191022104415

Öz

Kaynakça

  • 1. Lamberton GR, Hsi RS, Jin DH, Lindler TU, JellisonFC, Baldwin DD. Prospective comparison of four laparoscopic vessel ligation devices. J Endourol. 2008; 22: 2307-2312
  • 2.Ding Z, Wable G, Rane A. Use of LigaSure bipolar diathermy system in vaginal hysterectomy. J Obstet Gynaecol 2005; 25: 49-51
  • 3. Levy B, Emery L. Randomized trial of suture versus electrosurgical bipolar vessel sealing in vaginal hysterectomy. Obstet Gynecol 2003; 102: 147-51
  • 4.Person BI, Vivas DA, Ruiz D, Talcott M, Coad JE, Wexner SD. Comparison of four energy-based vascular sealing and cutting instruments: A porcine model. Surg Endosc 2008; 22: 534-8
  • 5.Rifaat M, Saber A, Hokkam EN. Total Versus Subtotal Thyroidectomy for Benign Multinodular Goiter: Outcome and Complications. J Curr Surg 2014;4:40-5
  • 6.Kiriakopoulos A, Dimitrios T. Use of a diathermy system in thyroid surgery. Arch Surg 2004; 139: 997-1000
  • 7.Challa. S, Sushama S. Sutureless thyroidectomy vasucular control using bipolar electrothermal cautery. J Evol Med Dent Sciences 2012; 1: 1083-6
  • 8.Musholt TJ. Total thyroidectomy for multinodular goiter. Chirurg 2010; 81: 603-6
  • 9.Aljuraibi W, Ahmed MR, Saber A. Use of Ligasure Sealing Versus Conventional Suture Ligation in Thyroidectomy Journal of Surgery 2016; 4: 34-8
  • 10.Bove A, Bongarzoni G, Palone G, Di Renzo R, Di Nicola M, Corradetti L, et al. Comparative study of an electrothermal bipolar vessel sealing system (LigaSure(R)), a harmonic curved shears (Harmonic Focus), and traditional technique in total thyroidectomy. Am Surg 2010; 76: E94–6
  • 11.Garas G, Okabayashi K, Ashrafian H, Shetty K, Palazzo F, Tolley N, et al. Which hemostatic device in thyroid surgery? a network metaanalysis of surgical technologies. Thyroid 2013; 23: 1138–50
  • 12.Kirdak T, Korun N, Ozguc H. Use of ligasure in thyroidectomy procedures: results of a prospective comparative study. World J Surg 2005; 29: 771–4
  • 13.Barbaros U, Erbil Y, Bozbora A, Deveci U, Aksakal N, Dinccag A, et al. The use of LigaSure in patients with hyperthyroidism. Langenbeck’s Archives of Surgery/ Deutsche Gesellschaft fur Chirurgie 2006; 391: 575–9
  • 14.Yao HS, Wang Q, Wang WJ, Ruan CP. Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation: a systematic review and metaanalysis. Arch Surg 2009; 144: 1167–74
  • 15.Petrakis IE, Kogerakis NE, Lasithiotakis KG, Vrachassotakis N, Chalkiadakis GE. LigaSure versus clamp-and-tie thyroidectomy for benign nodular disease. Head Neck 2004; 26: 903-9
  • 16.Hayward NJ, Grodski S, Yeung M, Johnson WR, Serpell J. Recurrent laryngeal nerve injury in thyroid surgery: a review. ANZ J Surg 2013; 83: 15–21
  • 17.Cakabay B, Sevinç MM, Gömceli I, Yenidogan E, Ulkü A, Koç S. LigaSure versus Clamp-and-Tie in Thyroidectomy: a Single-Center Experience. Adv Ther 2009; 26: 1035-41
  • 18.Rosato L, Avenia N, Bernante P, De Palma M, Gulino G, Nasi PG, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg 2004; 28: 271–6
  • 19.Bergenfelz A, Jansson S, Kristoffersson A, Mårtensson H, Reihnér E, Wallin G, et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch Surg 2008; 393: 667–73
  • 20.Jeannon J-P, Orabi AA, Bruch GA, Abdalsalam HA, Simo R. Diagnosis of recurrent laryngeal nerve palsy after thyroidectomy: a systematic review. Int J Clin Pract 2009; 63: 624–9
  • 21.Joliat GR, Guarnero V, Demartines N, Schweizer V, Matter M. Recurrent laryngeal nerve injury after thyroid and parathyroid surgery: Incidence and postoperative evolution assessment. Medicine 2017; 96: e6674
  • 22. Stager SV. Vocal fold paresis: etiology, clinical diagnosis and clinical management. Curr Opin Otolaryngol Head Neck Surg 2014; 22: 444–9
  • 23.Cordon C, Fajardo R, Ramirez J, Herrera MF. A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 2005; 137: 337–41
  • 24.Uludag M, Yetkin G, Citgez B, Yener F, Özkaynak M, Işgör A. Tiroidektomi uygulanan hastalarda geçici hipokalsemi gelişimini etkileyen faktörler. Endokrinolojide Diyalog 2009; 6: 141-6
  • 25. Seo ST, Chang JW, Jin J, Lim YC, Rha KS, Koo BS. Transient and permanent hypocalcemia after total thyroidectomy: Early predictive factors and long-term follow-up results. Surgery 2015; 158: 1492-9
  • 26. Sandonato L, Cipolla C, Graceffa G, Fricano S, Li Petri S, Prinzi G, et al. Bipolar electrothermic coagulation (ligasure bipolar vessel sealing system) in thyroid surgery. Chir Ital 2003; 55: 411–5
  • 27.Manouras A, Lagoudianakis EE, Antonakis PT, Filippakis GM, Markogiannakis H, Kekis PB. Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy. Head Neck 2005; 27: 959–62
  • 28.Cipolla C, Graceffa G, Sandonato L, Fricano S, Vieni S, Latteri MA. LigaSure in total thyroidectomy. Surg Today 2008; 38: 495-8
  • 29. Saint Marc O, Cogliandolo A, Piquard A,Fama F. LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study.Arch Surg 2007;142:150-7
  • 30.Marrazzo A, Taormina P, Gebbiab V, David M, Riili I, et al. Is sentinel lymph node biopsy more accurate than axillary dissection for staging nodal involvement in breast cancer patients? Chir Ital 2007;59, 693–9
  • 31.Parmeggiani U, Avenia N, De Falco M, Parmeggiani D, Pisaniello D, d'Ajello M et al. Major complications in thyroid surgery: utility of bipolar vessel sealing (LigaSure Precise). G Chi 2005; 26,387–94
  • 32.Joosten U, Brune E, Kersting JU. Risk factors and follow-up of recurrent laryngeal nerve paralysis after first surgeries of benign thyroid diseases. Results of a retrospective analysis of 1,556 patients. Zentralbl Chir 1997; 122:236-45.
  • 33.Wagner HE, Seiler C. Recurrent laryngeal nerve palsy after thyroid gland surgery. British Journal of Surgery 1994; 81: 226-8
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Bölüm Research Article
Yazarlar

Gokhan Demiral Bu kişi benim

Fikret Aksoy Bu kişi benim

Yayımlanma Tarihi 1 Ocak 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

Vancouver Demiral G, Aksoy F. 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. ULUTAS MED J. 2019;5(1):77-83.