甲状腺手术结果与传统技术相比,能量装置的优势:比较研究

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
A. Yousuf, A. Shamim, Abdul Hannan, Kouser Sideeq, S. Qazi
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引用次数: 0

摘要

背景:甲状腺切除术是世界范围内治疗良性和恶性甲状腺病变最常用的手术。在甲状腺手术中引入了新的手术技术,以实现血管密封和止血,比传统方法有更多的优势。目的:本研究的主要目的是比较谐波聚焦、LigaSure血管封闭器与常规钳夹缝合技术在甲状腺手术中的疗效。目的:本研究的目的是比较三种方法在甲状腺手术的总时差、总出血量、术后引流量和手术并发症方面的差异。方法:这项前瞻性研究于2020年6月至2022年5月在克什米尔Anantnag的政府医学院进行,为期两年,由耳鼻喉科和HNS进行。84例行甲状腺手术(全甲状腺/甲状腺切除术)的患者分为三组:H组(n = 28)、L组(n = 28)和C组(n = 28)。根据患者年龄、术前诊断(良、恶性)、甲状腺结节大小及甲状腺病变分期进行分组,形成同质组。所有病例均由同一位外科医生进行手术,以防止手术偏差。结果:三组患者在年龄、性别、临床状况、病理等方面均具有同质性。H组、L组平均手术时间较C组缩短25 ~ 30 min (P < 0.001)。H组和L组出血量明显少于C组(P < 0.001)。三组患者疼痛评分、术后引流、并发症发生率及平均住院时间比较,差异无统计学意义(P =无统计学意义)。结论:与传统的钳式缝合技术相比,使用手术器械进行血管剥离和止血是安全有效的。与常规方法相比,调和焦点和LigaSure方法显著减少了手术时间和术中出血量,三组术后并发症、疼痛评分和引流均有相当的差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Thyroid surgery outcome benefits with energy based devices over conventional technique: A comparative study
Background: Thyroidectomy is the most commonly performed surgery worldwide for both benign and malignant lesions of thyroid. New surgical technologies have been introduced in thyroid surgery to achieve vessel sealing and hemostasis with an added advantage over conventional method. Aim: The primary aim of study was to compare the surgical outcome benefits of harmonic focus, LigaSure vessel sealer with conventional techniques of clamp and suture in thyroid surgeries. Objectives: The objectives of this study were to compare the three methods in terms of the overall time difference, the total blood loss in thyroid surgery, postoperative drainage output, and surgical complications. Methodology: The prospective study was conducted in Government Medical College, Anantnag, Kashmir, between 2020 June and May 2022, over a period of 2 years by the Department of ENT and HNS. A total of 84 patients who underwent thyroid surgeries (total/hemithyroidectomy) were divided into three groups: Group H (n = 28), Group L (n = 28), and Group C (n = 28). The patients were divided according to age, preoperative diagnosis (benign and malignant), and thyroid nodule size and stage of thyroid lesion to generate homogeneous groups. All cases were operated by the same surgeon to prevent surgical bias. Results: The three groups were homogeneous in terms of age, gender, clinical status, and pathology. In Group H and Group L, the mean operative time was 25–30 min shorter than Group C (P < 0.001). In Group H and Group L, the blood loss was significantly less as compared to Group C (P < 0.001). The comparison of pain score, postoperative drainage, complication rates as well as mean hospital stay was similar between the three groups (P = Statistically non significant). Conclusion: The use of surgical devices is as safe and effective for vessel dissection and hemostasis likewise conventional clamp suture technique. A significant reduction of the operative time and intraoperative blood loss was found with harmonic focus and LigaSure method compared to conventional method with comparable differences in postoperative complications, pain score, and drainage in all the three groups.
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来源期刊
Journal of Head & Neck Physicians and Surgeons
Journal of Head & Neck Physicians and Surgeons MEDICINE, GENERAL & INTERNAL-
CiteScore
0.30
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审稿时长
15 weeks
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