Surgical completeness of total thyroidectomy using harmonic scalpel : comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients :comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients

Jong Ju Jeong; Kyu Hyung Kim; Yoon Woo Koh; Kee-Hyun Nam; Woong Youn Chung; Cheong Soo Park

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자료유형: 학술저널

저자정보: Jong Ju Jeong (Institute of Endocrine Research, Yonsei University College of Medicine) Kyu Hyung Kim (Institute of Endocrine Research, Yonsei University College of Medicine) Yoon Woo Koh (Institute of Endocrine Research, Yonsei University College of Medicine) Kee-Hyun Nam (Yonsei University College of Medicine) Woong Youn Chung (Institute of Endocrine Research, Yonsei University College of Medicine) Cheong Soo Park (Institute of Endocrine Research, Yonsei University College of Medicine)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.83 No.5

발행연도: 2012.11

수록면: 267 - 273 (7page)

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Purpose: The aim of this study was to compare the surgical completeness and outcome of total thyroidectomy in two patient groups: One treated by harmonic scalpel (HS) and one by conventional total thyroidectomy (CT). Methods: Between March 2006 and December 2007, 104 patients had total thyroidectomy by HS and 108 patients underwent CT. We analyzed clinicopathological characteristics and stimulated serum thyroid-stimulating hormone (TSH), thyroglobulin (Tg), and anti-Tg antibodies at the time of ablation for both groups. Results: Compared with the CT group, the HS group had shorter operating time and hospital stays and reduced postoperative drainage. At postsurgical ablation, mean serum TSH was 80.47 ± 21.77 mU/L in the HS group and 69.74 ± 21.17 mU/L in the CT group, with significant between-group differences (P ＜ 0.001). Mean serum Tg levels after TSH stimulation were 1.57 ± 3.17 and 3.95 ± 10.14 ng/mL in the HS and CT groups, respectively, with significant between-group differences (P = 0.028). Conclusion: Total thyroidectomy with an HS is a relatively safe and effective technique for use in patients with PTC. The HS provides surgical completeness and has a beneficial effect on successful ablation.

#Harmonic scalpel #Papillary thyroid cancer #Thyroidectomy #Completeness #Ablation

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