LigaSure Small Jaw vs. Harmonic Focus and Clamp-and-Tie Technique in Total Thyroidectomy for Benign Disease:A Prospective Randomized Trial

Cosenza G, Morano C, Cilurso F, Cavaniglia D, Cesare TD, Scarinci A, Torre ML and Liverani A

Department of General and Endocrine Surgery, Regina Apostolorum Hospital, Italy
Department of Medical and Surgical Sciences and Translational Medicine, University of Rome “La Sapienza”, Italy

^*Correspondance to: Andrea Scarinci 

 PDF  Full Text DOI: 10.25107/2474-1647.2038

Abstract

Background: The Ligasure Small Jaw (LS) and the Harmonic Focus (HF) are devices designed for thyroid surgery.
Aim: to assess their efficacy and safety compared with traditional dissection in a prospective randomized trial (ClinicalTrial.gov nº NCT01649154).
Methods: One hundred-twenty six patients with benign disease undergoing total thyroidectomy were randomly assigned into 3 groups: Clamp-and-Tie (CAT) group (42 patients); LS group (42 patients); HF group (42 patients). Perioperative and post-operative data were compared between groups.Results: The three groups were homogeneous in terms of age, gender, BMI and pathology. In LS and HF groups the mean operative time was 20 min shorter than CAT group (p<0.001). The complication rates as well as the mean hospital stay were similar between the 3 groups (p=n.s).Conclusion: The use of surgical devices is as safe and effective at vessel dissection and hemostasis as the CAT technique with a decrease in mean operative time

Keywords

Thyroid; Total thyroidectomy; Benign thyroid disease; Surgical devices

Cite the article

Cosenza G, Morano C, Cilurso F, Cavaniglia D, Cesare TD, Scarinci A, et al. LigaSure Small Jaw vs. Harmonic Focus and Clamp-and-Tie Technique in Total Thyroidectomy for Benign Disease: A Prospective Randomized Trial. Clin Surg. 2018; 3: 2038.