A Prospective, Randomized, Controlled Comparative Study of Three Energy Devices in Open Thyroid Surgery: Thunderbeat, Harmonic, and Ligasure

Back, Kyorim; Hur, Nayoon; Kim, Min Jhi; Choe, Jun-Ho; Kim, Jung-Han; Kim, Jee Soo

doi:10.16956/jes.2019.19.4.106

Cited by 15 publications

(19 citation statements)

References 14 publications

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“…The result of our present analysis regarding the occurrence of transient recurrent laryngeal nerve injury confirms, also from a statistical point of view, that of Back et al [ 34 ]. In our opinion, the greater occurrence of this complication in thyroidectomies performed with TB was due to a slightly greater lateral thermal spread generated by this device.…”

Section: Discussionsupporting

confidence: 92%

“…As regards the other four clinical studies in which TB was considered, in all of these, no statistically significant difference was found in terms of complications between HF and TB [ 33 , 34 , 35 , 36 ]. However, in this regard, it is important to underline that Back et al [ 34 ] reported a higher rate of transient recurrent laryngeal nerve injury in patients operated on with TB although the difference was not statistically significant (probably due to the limited size of their sample). Considering this finding, these authors recommend more caution when using this device near the recurrent laryngeal nerve.…”

Section: Discussionmentioning

confidence: 90%

“…About operative times, only Back et al and Papavramidis et al described shorter operations in patients operated on with TB than in those with HF [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Far fewer studies that compare the different devices with each other exist [ 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. Moreover, currently, about the use of Thunderbeat Open Fine Jaw in thyroid surgery, to our knowledge, in the literature, there are only five other clinical studies (in this field of surgery, other investigations involving this device were carried out on porcine models) [ 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 ].…”

Section: Introductionmentioning

confidence: 99%

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The Use of Harmonic Focus and Thunderbeat Open Fine Jaw in Thyroid Surgery: Experience of a High-Volume Center

Canu¹,

Medas²,

Cappellacci³

et al. 2022

JCM

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Background: In thyroid surgery, achieving accurate haemostasis is fundamental in order to avoid the occurrence of complications. Energy-based devices are currently extensively utilized in this field of surgery. This study aims to compare Harmonic Focus and Thunderbeat Open Fine Jaw with regard to surgical outcomes and complications. Methods: Patients submitted to total thyroidectomy in our center, between January 2017 and June 2020, were retrospectively analysed. Based on the energy-based device utilized, two groups were identified: Group A (Harmonic Focus) and Group B (Thunderbeat Open Fine Jaw). Results: A total of 527 patients were included: 409 in Group A and 118 in Group B. About surgical outcomes, the mean operative time was significantly shorter in Group B than in Group A (p < 0.001), while as regards complications, the occurrence of transient recurrent laryngeal nerve injury was significantly greater in Group B than in Group A (p = 0.019). Conclusions. Both Harmonic Focus and Thunderbeat Open Fine Jaw have proven to be effective devices. Operative times were significantly shorter in thyroidectomies performed with Thunderbeat Open Fine Jaw; however, the occurrence of transient recurrent laryngeal nerve injury was significantly greater in patients operated on with this device.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 90%

“…About operative times, only Back et al and Papavramidis et al described shorter operations in patients operated on with TB than in those with HF [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Use of Harmonic Focus and Thunderbeat Open Fine Jaw in Thyroid Surgery: Experience of a High-Volume Center

Canu¹,

Medas²,

Cappellacci³

et al. 2022

JCM

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“…Ultrasonic shears were used for ligation of thyroid vessels in all cases. The use of ultrasonic shears provides safe and effective control of thyroid vessels and considerably reduces the risk of postoperative bleeding [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Surgical Outcomes and Learning Curve

Chai

Chae

et al. 2021

JCM

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The transoral endoscopic thyroidectomy vestibular approach (TOETVA) has excellent cosmetic effects and its popularity is increasing worldwide. We present our experience with TOETVA and its short-term outcomes. This study included 110 consecutive patients who underwent TOETVA at a single institution between July 2016 and June 2020. We analyzed clinicopathologic data, short-term postoperative outcomes, and learning curve using cumulative summation (CUSUM) analysis. Of the 110 patients who underwent TOETVA, 101 had malignant disease and 100 (90.9%) underwent lobectomy. The mean age was 39.7 ± 9.7 years, and the mean tumor size was 1.0 ± 0.7 cm (range, 0.3–3.6 cm). Operation time was 168.0 ± 63.4 min for total thyroidectomy, 111.0 ± 27.7 min for lobectomy, and 73.7 ± 18.1 min for isthmusectomy. Five patients (4.5%) experienced transient vocal cord palsy (VCP) and one (0.9%) had permanent VCP. The swallowing impairment index-6 score was 2.18 ± 3.21 at postoperative three months, and 0.97 ± 1.72 at postoperative six months. The learning curve for lobectomy was 58 cases in CUSUM analysis. TOETVA is a safe and feasible approach with an acceptable operation time and a low complication rate. This approach is a surgical option for patients who desire excellent cosmesis.

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Comparison of perioperative outcomes between bipolar sealing, ultrasonic shears and a hybrid device during laparoscopic gastrectomy for early gastric cancer: a prospective, multicenter, randomized study

et al. 2023

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A Prospective, Randomized, Controlled Comparative Study of Three Energy Devices in Open Thyroid Surgery: Thunderbeat, Harmonic, and Ligasure

Cited by 15 publications

References 14 publications

The Use of Harmonic Focus and Thunderbeat Open Fine Jaw in Thyroid Surgery: Experience of a High-Volume Center

The Use of Harmonic Focus and Thunderbeat Open Fine Jaw in Thyroid Surgery: Experience of a High-Volume Center

Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA): Surgical Outcomes and Learning Curve

Comparison of perioperative outcomes between bipolar sealing, ultrasonic shears and a hybrid device during laparoscopic gastrectomy for early gastric cancer: a prospective, multicenter, randomized study

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