Comparison of the Outcome of Clamp-and-Tie with Ligasure Technique in Total Thyroidectomy
Hafiz Muhammad Ijaz Ul Haq, Muhammad Usman Akram, Sohaib Haider, Muhammad Tahir Ghani, Fawad Aamir Mirza, Ahmad Raza
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ABSTRACT
Objective: To compare the outcome of clamp-and-tie
with Ligasure technique in total thyroidectomy patients.
Material and Methods: A total 60 (30
in each group) patients undergoing near total thyroidectomy for benign goiter
were included in this study. After taking informed consent, demographic data
(age, gender, duration of goitre, place of living and BMI) were noted. All
selected cases were be divided into group A & B by lottery method. In group
A patients total thyroidectomy was done by using ligasure while in group B
patients, near total thyroidectomy was done by clamp-and-tie technique.
Operation time and intra-operative blood loss were measured for each patient.
Results: Mean age of patients was 45.60±12.1 years included in
this study. Mean disease duration was 7.8±4.5 months. Mean BMI was 24.80±3.61
kg/m2. There were 43 (71.67%) females and 17 (28.33%) male patients.
There were 13 (21.67%) patients were from rural area and 47 (78.33%) were from
urban area. Mean operative time in group A was 61.33±5.98 hours versus
75.06±6.61 hours in group B (p-value <0.001). Mean intra-operative blood
loss was 53.40±6.11 ml in group A versus 81.47±9.29 ml in group B (p-value
<0.001).
Conclusion: Thyroid
surgery with Ligasure resulted in dramatically reduced mean operational time
and postoperative blood loss compared to traditional approach.
Keywords: clamp-and-tie technique, Ligasure,
total thyroidectomy.
ABSTRACT
Objective: To compare the outcome of clamp-and-tie
with Ligasure technique in total thyroidectomy patients.
Material and Methods: A total 60 (30
in each group) patients undergoing near total thyroidectomy for benign goiter
were included in this study. After taking informed consent, demographic data
(age, gender, duration of goitre, place of living and BMI) were noted. All
selected cases were be divided into group A & B by lottery method. In group
A patients total thyroidectomy was done by using ligasure while in group B
patients, near total thyroidectomy was done by clamp-and-tie technique.
Operation time and intra-operative blood loss were measured for each patient.
Results: Mean age of patients was 45.60±12.1 years included in
this study. Mean disease duration was 7.8±4.5 months. Mean BMI was 24.80±3.61
kg/m2. There were 43 (71.67%) females and 17 (28.33%) male patients.
There were 13 (21.67%) patients were from rural area and 47 (78.33%) were from
urban area. Mean operative time in group A was 61.33±5.98 hours versus
75.06±6.61 hours in group B (p-value <0.001). Mean intra-operative blood
loss was 53.40±6.11 ml in group A versus 81.47±9.29 ml in group B (p-value
<0.001).
Conclusion: Thyroid
surgery with Ligasure resulted in dramatically reduced mean operational time
and postoperative blood loss compared to traditional approach.
Keywords: clamp-and-tie technique, Ligasure,
total thyroidectomy.