2015

Total Tiroidektomi Sırasında Enerji Bazlı Damar Mühürleme Cihazlarının Etkinliği: Karşılaştırmalı Tek Merkez Çalışması

GİRİŞ ve AMAÇ: Son yıllarda tiroid ameliyatlarında LigaSure® (LS) ve Harmonic Scapel® (HS) kullanımı cerrahlar arasında popüler hale gelmiştir. Bu yeni teknolojinin, geleneksel bağlama yöntemi ile karşılaştırılması, kapsamlı bir şekilde incelenmiştir. Bu çalışmada, bölümümüzün’de LS ve HS kullanarak yapılan tiroidektomi sonuçlarının güncel literatür eşliğinde tartışılması amaçlanmıştır. YÖNTEM ve GEREÇLER: Ocak 2013-Ekim 2017 tarihleri arasında bölümümüzde primer total tiroidektomi uygulanan 224 hastanın dosyaları bu çalışma için gözden geçirildi. Demografik özellikleri, operasyon süresi, patolojik değişkenler, hastanede yatış süresi ve komplikasyon oranları retrospektif olarak incelendi. BULGULAR: Yüz kırk dokuz hasta LS, 75 hasta ise HS kullanılarak ameliyat edildi. Otuz sekiz hasta erkek, 186 hasta kadındı. LS grubundaki hastalar HS grubundan daha yaşlıydı (p

The Efficacy of Energy Based Vessel Sealer Devices During Total Thyroidectomy: A Comparative Single Institution Study

INTRODUCTION: Nowadays, LigaSure® (LS) and Harmonic Scapel® (HS) have been popularized among surgeons during thyroid operations. The comparison of this new technology with conventional ligature have been extensively studied. The aimed of this study was to discuss the results of thyroidectomies with LS or HS in the context of the literature.METHODS: Between January 2013 and October 2017, 224 patients who underwent total thyroidectomy in our department were evaluated for this study. The demographic characteristics, duration of operations, pathologic variables, duration of hospitalization and complication rates were retrospectively analyzed.RESULTS: Hundred and forty-nine patients were operated withLS and 75 patients were operated with HS. Thirty-eight patientswere male, and 186 patients were female. Patients in the LS group were older than the HS group (p

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