갑상선수술에서 HarmonicTM, LigasureTM 전통적 봉합사 매듭에 의한 혈관 결찰술의 유용성 및 안전성 비교

• 영문명: A Comparison of the Usefulness and Safety of the Harmonic^TM Scalpel, Ligasure^TM System, and Classic Clamp-and-Tie Technique for Hemostasis during Thyroid Surgery
• 발행기관: 대한내분비외과학회
• 저자명: 유정미 한재은 김용훈 김제룡 Jeong-Mi Yu M.D. Jae-Eun Han M.D. Yong-Hoon Kim M.D. and Je-Ryong Kim M.D. Ph.D.
• 간행물 정보: 『The Koreran journal of Endocrine Surgery』9권4호, 206~210쪽, 전체 5쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2009.12.30

영문 초록

Purpose: The aim of this study was to compare the outcome of total thyroidectomy performed with the Ligasure^TM system, Harmonic^TM scalpel, and the conventional clamp- and-tie technique. Methods: Between November 2006 and July 2009, the data were retrospectively collected from 600 consecutive total thyroidectomies by one surgeon. All cases were divided into 3 groups based on the method of hemostasis: classic group patients (n=200) underwent total thyroidectomy with the conventional clamp-and-tie technique Ligasure group patients (n=200) underwent total thyroidectomy with the Ligasure^TM system (electrothermal bipolar vessel sealing system) and the Harmonic group patients (n=200) underwent total thyroidectomy with a Harmonic^TM scalpel (ultrasonic cutting and coagulating surgical device). We compared the clinical outcomes with respect to the operative time, amount and duration of drainage, hospital stay, and post-operative complications. Results: The three groups were similar with respect to clinical and demographic characteristics, with the exception of invasiveness. The mean operative time of the Harmonic group was significantly shorter than the other 2 groups (P＜0.001) specifically, 75 min in the Harmonic group, 87 min in the Ligasure group, and 120 min in the classic group. The amount of drainage in the Harmonic group was greater than the other groups (P＜0.001). Similarly, the duration of drainage and hospital stay of the Harmonic group were longer than the other groups. There was no significant difference in the incidence of complications between the three groups. Conclusion: Hemostasis during thyroidectomy by the Harmonic^TM scalpel or Ligasure^TM system was safe and time- saving. Therefore, the Harmonic^TM scalpel and Ligasure^TM system will be available for thyroid surgery as alternative techniques for the clamp-and-tie technique. (Korean J Endocrine Surg 2009;9:206-210)

키워드

갑상선 절제술, Harmonic, Ligasure,Thyroidectomy, Harmonic, Ligasure