Comparison of hypocalcemia rates between LigaSure and clamp-and-tie hemostatic technique in total thyroidectomies.
Adult
Blood Loss, Surgical
/ prevention & control
Calcium
/ blood
Cohort Studies
Constriction
Female
Hemostatic Techniques
Humans
Hypocalcemia
/ etiology
Incidence
Ligation
/ methods
Male
Middle Aged
Postoperative Complications
/ etiology
Prognosis
Retrospective Studies
Risk Assessment
Severity of Illness Index
Thyroidectomy
/ adverse effects
Treatment Outcome
LigaSure
clamp-and-tie
hypocalcemia
parathyroid preservation
thyroid surgery
Journal
Head & neck
ISSN: 1097-0347
Titre abrégé: Head Neck
Pays: United States
ID NLM: 8902541
Informations de publication
Date de publication:
10 2019
10 2019
Historique:
received:
08
04
2019
revised:
10
06
2019
accepted:
11
07
2019
pubmed:
28
7
2019
medline:
12
9
2020
entrez:
27
7
2019
Statut:
ppublish
Résumé
Postoperative hypocalcemia (PH) is a serious complication after total thyroidectomy. This study aimed to compare PH rates between LigaSure Small Jaw (LSJ) and clamp-and-tie hemostatic technique in patients undergoing total thyroidectomy. Four hundred twenty patients were divided into two groups: group L (210 patients) performed with LSJ and group C (210 patients) with clamp-and-tie technique. Serum ionized calcium (iCa) was measured before and 12, 24, 48, 72 hours after surgery. PH was defined as iCa lower than 4.2 mg/dL in at least two measurements. There was no significant difference between groups in sex, age, extent of surgery, pathology, and the strategy of intraoperative management of parathyroid glands (PG). The PH rate was significantly lower in group L compared to group C (22.9% vs 32.4%, P = .03). Compared to clamp-and-tie technique, LigaSure is superior to decrease PH rate after total thyroidectomy.
Sections du résumé
BACKGROUND
Postoperative hypocalcemia (PH) is a serious complication after total thyroidectomy. This study aimed to compare PH rates between LigaSure Small Jaw (LSJ) and clamp-and-tie hemostatic technique in patients undergoing total thyroidectomy.
METHODS
Four hundred twenty patients were divided into two groups: group L (210 patients) performed with LSJ and group C (210 patients) with clamp-and-tie technique. Serum ionized calcium (iCa) was measured before and 12, 24, 48, 72 hours after surgery. PH was defined as iCa lower than 4.2 mg/dL in at least two measurements.
RESULTS
There was no significant difference between groups in sex, age, extent of surgery, pathology, and the strategy of intraoperative management of parathyroid glands (PG). The PH rate was significantly lower in group L compared to group C (22.9% vs 32.4%, P = .03).
CONCLUSIONS
Compared to clamp-and-tie technique, LigaSure is superior to decrease PH rate after total thyroidectomy.
Substances chimiques
Calcium
SY7Q814VUP
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3677-3683Informations de copyright
© 2019 Wiley Periodicals, Inc.
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