Sutureless thyroidectomy using electrothermal system: a new technique

Ashkenazi, Dror; Mazzawi, Salim; Rakover, Yoseph

doi:10.1258/002221503321192502

Cited by 16 publications

(9 citation statements)

References 5 publications

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“…We also found that LigaSure significantly reduced the operation time for both euthyroidic and hyperthyroidic patients. Time-saving operations are becoming an increasingly important issue, especially for the turnover of the patients in high-capacity, crowded hospitals and for using up less anesthesia time [2,11]. On the other hand, adequate hemostasis in hyperthyroidic patients can shorten the hospital stay duration due to the early removal of the aspirating drains as in our series.…”

Section: Discussionmentioning

confidence: 68%

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The use of LigaSure in patients with hyperthyroidism

Barbaros

Erbil

Bozbora

et al. 2006

Langenbecks Arch Surg

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Section: Discussionmentioning

confidence: 68%

“…In our series, there was a mean reduction in operative time of approximately 18 min in the LigaSure group. Recently, many reports advocating the beneficial effects of this modality have appeared in the literature [2][3][4][5][6][7][8][9][10][11][12][13][14]. However, efficiency in hyperthyroid cases were not mentioned in any of the studies.…”

Section: Discussionmentioning

confidence: 99%

The use of LigaSure in patients with hyperthyroidism

Barbaros

Erbil

Bozbora

et al. 2006

Langenbecks Arch Surg

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“…Ashkenazi et al (17) reported sutureless thyroidectomy using LS, and stated that the main advantages of the LS method are reduced operation duration and the reduction of risks associated with using sutures and clips. Sandonato et al (18) analyzed their experiences with 67 total thyroidectomies performed using LS, and noted that complications, such as transient recurrent nerve palsy and hypoparathyroidism, were significantly less frequent than they had reported in an analysis of 579 total thyroidectomy cases (19).…”

Section: Discussionmentioning

confidence: 99%

A comparison of total thyroidectomies carried out through LigaSure and Harmonic Scalpel: a retrospective study

Peker¹,

Özcan²,

Şahin³

et al. 2014

Turk J Med Sci

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A 10-month-old, unilateral cryptorchid, male English bulldog underwent urethropexy for the treatment of urethral prolapse. Six hours after surgery the dog developed dysuria, haematuria, discomfort, severe penile oedema, inflammation, and inability to extrude the penis from the prepuce. Urethral patency was restored by placing an indwelling catheter into the urethral lumen. Penile swelling was managed with cold and warm compresses for 2 days, and antibiotics, nonsteroidal anti-inflammatory drugs, and opioids for 4 days. Complete resolution of the swelling was evident by 3 days after surgery. One year after surgery the dog was reported to be in good health.

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“…The comparison of thermal damage between bipolar energy and ultrasonic energy devices are controversial. [30][31][32][33][34][35][36][37][38][39][40][41]. Among them, Sutton et al [42] reported that bipolar energy produce smaller increase in the temperature than harmonic scalpel.…”

Section: Discussionmentioning

confidence: 99%

Single-port transaxillary robotic thyroidectomy (START): 200-cases with two-step retraction method

Kim

Choi

et al. 2021

Surg Endosc

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Background This study aims to report the results of a pioneering clinical study using the single-port transaxillary robotic thyroidectomy (START) for 200 patients with thyroid tumor and to introduce our novel two-step retraction method. Methods START was performed on consecutive 200 patients using the da Vinci Single-Port (SP) robot system from January 2019 to September 2020 at the Yonsei University Health System, Seoul, Korea. The novel two-step retraction technique, in which a 3.5 cm long incision is made along the natural skin crease, was used for the latter 164 patients. The surgical outcome and invasiveness of the SP two-step retraction method were analyzed. Results Among the 200 cases who underwent START, 198 were female and 2 were male, with a mean age of 34.7 (range: 13–58 years). Thyroid lobectomy was performed for 177 patients and total thyroidectomy was performed for 23 patients. Ten patients had benign thyroid nodules, whereas the other 190 had thyroid malignancy. The mean body mass index (BMI) was 22.2 ± 3.7 kg/m2 (range: 15.9–37.0 kg/m2). All of the operations were performed successfully without any open conversions, and patients were discharged on postoperative day 3 or 4 without significant complication. The mean operative time for thyroid lobectomy with the two-step retraction method was 116.69 ± 23.23 min, which was similar to that in the conventional robotic skin flap method (115.33 ± 17.29 min). We could minimize the extent of the robotic skin flap dissection with the two-step retraction method. Conclusions START is a practical surgical method. By employing the new two-step retraction method, we can maximize the cosmetic and functional benefits for patients and reduce the workload fatigue of surgeons by increasing robotic dependency.

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Sutureless thyroidectomy using electrothermal system: a new technique

Abstract: Bleeding is a dangerous complication of thyroid surgery. We describe a new technique of vessel and tissue sealing and bleeding control using an electrothermal sealer. The technique has some potential advantages over the current methods used for this purpose.

Cited by 16 publications

References 5 publications

The use of LigaSure in patients with hyperthyroidism

The use of LigaSure in patients with hyperthyroidism

A comparison of total thyroidectomies carried out through LigaSure and Harmonic Scalpel: a retrospective study

Single-port transaxillary robotic thyroidectomy (START): 200-cases with two-step retraction method

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