지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 25 - 29 (5page)
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초록· 키워드
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Purpose: The use of sealing devices such as Harmonic scalpel and Ligasure is increasing steadily in thyroid surgery. The Harmonic Focus (HF) is an ultrasonic device that enables simultaneous vessel sealing and tissue coagulation, designed for open surgery such as thyroidectomy. The aim of this study is to assess the efficiency and safety of HF use in thyroid surgery compared to Conventional Tying (CT).Methods: A prospective study was conducted to compare the efficacy of HF versus CT. We evaluated 50 patients who underwent surgery for thyroid tumor at Korea University Anam Hospital. All patients underwent total thyroidectomy with central neck dissection after being randomly allocated into two groups: HF group and CT group. The differences in surgical outcomes and postoperative complications by device use, i.e. group assignment, were statistically analyzed.Results: There were no differences in number of retrieved lymph nodes (P=0.595), number of resected parathyroid glands (P=0.330), immediate postoperative iPTH (P=0.252), length of hospitalization (P=0.375) between HF group and CT group. However, operative time was shorter in HF group than CT group (106.07±20.92 min vs. 136.54±38.24 min, P=0.046). Postoperative complications of wound infection, seroma, hematoma, chyle leakage, vocal cord palsy, and hypoparathyroidism did not differ between groups.Conclusion: HF is a safe, effective, and time-saving technique; outcomes are comparable with CT. Both intraoperative and postoperative variables were similar between groups. Future larger studies are warranted to further investigate the effect on postoperative complications.
목차
등록된 정보가 없습니다.
참고문헌 (11)
참고문헌 신청
Amaral JF / 1995 / Laparoscopic cholecystectomy in 200 consecutive patients using an ultrasonically activated scalpel / Surg Laparosc Endosc 5 : 255 ~ 262
Chang LY / 2011 / Sutureless total thyroidectomy: a safe and cost-effective alternative / ANZ J Surg 81 : 510 ~ 514
Delbridge L / 1999 / Total thyroidectomy for bilateral benign multinodular goiter: effect of changing practice / Arch Surg 134 : 1389 ~ 1393
Karvounaris DC / 2006 / Efficacy and safety of ultrasonically activated shears in thyroid surgery / Head Neck 28 : 1028 ~ 1031
Koh YW / 2008 / The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study / Ann Surg 2
Chang LY / 2011 / Sutureless total thyroidectomy: a safe and cost-effective alternative / ANZ J Surg 81 : 510 ~ 514
Delbridge L / 1999 / Total thyroidectomy for bilateral benign multinodular goiter: effect of changing practice / Arch Surg 134 : 1389 ~ 1393
Karvounaris DC / 2006 / Efficacy and safety of ultrasonically activated shears in thyroid surgery / Head Neck 28 : 1028 ~ 1031
Koh YW / 2008 / The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study / Ann Surg 2
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