Open AccessVessel Sealing System Thyroidectomy
Author(s) -
Hirunwiwatkul Prakobkiat
Publication year - 2012
Publication title -
otolaryngology–head and neck surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.232
H-Index - 121
eISSN - 1097-6817
pISSN - 0194-5998
DOI - 10.1177/0194599812451426a201
Subject(s) - medicine , blood loss , surgery , ctl* , thyroid , randomization , thyroidectomy , randomized controlled trial , recurrent laryngeal nerve , anesthesia , antigen , cd8 , immunology
Objective To compare efficacy and adverse effects between vessel sealing system thyroid lobectomy (VSSL) and conventional thyroid lobectomy (CTL). Method Study design: Randomized, controlled study. Research methodology: Eighteen subjects with solitary thyroid nodule planned for thyroid lobectomy were enrolled consecutively. Intervention was randomized by mixed‐block randomization into 2 groups. Measured outcomes: Primary outcome was operative time. Secondary outcomes were intraoperative blood loss, postoperative blood loss and postoperative recurrent laryngeal nerve injury. Results There was clinically significant less operative time in VSSL group compared with CTL group (VSSL/CTL = 59.78 ± 11.83/85.22 ± 19.25 minutes, P =. 004). There was no significant difference of intraoperative blood loss (VSSL/CTL = 39.49 ± 23.24/57.56 ± 18.94 mL, P =. 089) and postoperative blood loss (VSSL/CTL = 49.44 ± 23.78/60.56 ± 41.57 mL, P =. 496) between both groups. There was no case of postoperative recurrent laryngeal nerve injury in both groups. Conclusion Thyroid lobectomy using vessel sealing system was clinically significantly better than conventional technique in terms of operative time. Intraoperative blood loss in VSSL group also had a tendency to be less than CTL group. Postoperative blood loss and recurrent laryngeal nerve injury were not significantly different between both techniques.