Early Experience with LigaSure Thyroidectomy in a Nigeria Teaching Hospital.
Goiter
LigaSure thyroidectomy
Nigeria
sutureless thyroidectomy
Journal
Nigerian journal of surgery : official publication of the Nigerian Surgical Research Society
ISSN: 1117-6806
Titre abrégé: Niger J Surg
Pays: India
ID NLM: 101189891
Informations de publication
Date de publication:
Historique:
entrez:
23
4
2019
pubmed:
23
4
2019
medline:
23
4
2019
Statut:
ppublish
Résumé
The principles of safe and efficient thyroid surgery had been established and the technique has remained the same for over the century without any major significant changes. The introductions of electrosurgical devices constitute a major shift in the technique of thyroid surgery. We present our early experience with the use of LIGASURE vessel sealing system for the procedure of thyroidectomy. This was a quasi-experimental study comparing outcome of LigaSure thyroidectomy in a prospective nonrandomized cohort with another retrospective cohort of preintervention clamp-and-tie thyroidectomy. A total of 30 patients with a clinical diagnosis of goiter were recruited into the study. There were two males and 28 females with a mean age of 42.6 years. Diagnosis was simple multinodular goiter 24 (80%), controlled toxic nodular goiter 3 (10%), grave disease 1 (3.3%), and multinodular goiter with retrosternal extension 2 (6.7%). The mean thyroid weight was 121.0 g. The mean duration of surgery was 59 min compared to 128 min for traditional technique ( LigaSure thyroidectomy was found to be easier and faster to carry out with no learning curve and easy to learn and adapt.
Sections du résumé
BACKGROUND
BACKGROUND
The principles of safe and efficient thyroid surgery had been established and the technique has remained the same for over the century without any major significant changes. The introductions of electrosurgical devices constitute a major shift in the technique of thyroid surgery.
OBJECTIVE
OBJECTIVE
We present our early experience with the use of LIGASURE vessel sealing system for the procedure of thyroidectomy.
MATERIALS AND METHODS
METHODS
This was a quasi-experimental study comparing outcome of LigaSure thyroidectomy in a prospective nonrandomized cohort with another retrospective cohort of preintervention clamp-and-tie thyroidectomy.
RESULTS
RESULTS
A total of 30 patients with a clinical diagnosis of goiter were recruited into the study. There were two males and 28 females with a mean age of 42.6 years. Diagnosis was simple multinodular goiter 24 (80%), controlled toxic nodular goiter 3 (10%), grave disease 1 (3.3%), and multinodular goiter with retrosternal extension 2 (6.7%). The mean thyroid weight was 121.0 g. The mean duration of surgery was 59 min compared to 128 min for traditional technique (
CONCLUSION
CONCLUSIONS
LigaSure thyroidectomy was found to be easier and faster to carry out with no learning curve and easy to learn and adapt.
Identifiants
pubmed: 31007515
doi: 10.4103/njs.NJS_40_18
pii: NJS-25-64
pmc: PMC6452764
doi:
Types de publication
Journal Article
Langues
eng
Pagination
64-69Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
Adv Ther. 2009 Nov;26(11):1035-41
pubmed: 20024679
Am J Surg. 2010 Oct;200(4):462-6
pubmed: 20887838
Int J Surg. 2008 Aug;6(4):323-7
pubmed: 18585113
Niger J Clin Pract. 2012 Oct-Dec;15(4):458-61
pubmed: 23238198
Langenbecks Arch Surg. 2006 Nov;391(6):575-9
pubmed: 16955301
Head Neck. 2005 Nov;27(11):959-62
pubmed: 16134183
Med Devices (Auckl). 2015 Apr 20;8:193-9
pubmed: 25945070
World J Surg. 2005 Jun;29(6):771-4
pubmed: 15883664
Chir Ital. 2007 May-Jun;59(3):361-5
pubmed: 17663377
Arch Surg. 2004 Sep;139(9):997-1000
pubmed: 15381620
Arch Surg. 2007 Feb;142(2):150-6; discussion 157
pubmed: 17309966
Indian J Endocrinol Metab. 2011 Jul;15(Suppl 2):S82-8
pubmed: 21966659
Surg Endosc. 1998 Jun;12(6):876-8
pubmed: 9602010
Ann Surg. 1977 May;185(5):493-504
pubmed: 324411
Asian J Surg. 2005 Apr;28(2):86-9
pubmed: 15851359
Indian J Otolaryngol Head Neck Surg. 2013 Dec;65(Suppl 3):455-60
pubmed: 24427697
Arch Surg. 2002 Feb;137(2):137-42
pubmed: 11822946
Niger Postgrad Med J. 2016 Jul-Sep;23(3):137-40
pubmed: 27623725
Langenbecks Arch Surg. 2015 Feb;400(2):247-52
pubmed: 25582310
Head Neck. 2004 Oct;26(10):903-9
pubmed: 15390199