Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy

Reza Rahbari, Aarti Mathur, Mio Kitano, Marlon A Guerrero, Wen T. Shen, Quan Yang Duh, Orlo H. Clark, Electron Kebebew

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: Two surgical devices have become popular in thyroid surgery: a bipolar energy sealing system (B) and ultrasonic coagulation (UC). Retrospective and prospective studies have demonstrated that the use of these surgical devices for thyroidectomy compared with conventional thyroidectomy (clamp-and-tie) techniques reduces operative time and cost. We conducted a prospective randomized clinical trial to determine if there is any difference in operative time and cost between B and UC. Materials and Methods: A single-blinded prospective randomized controlled trial was conducted at a tertiary referral center. A total of 90 patients who required a thyroidectomy for thyroid cancer, thyroid nodules, or hyperthyroidism were randomized to either B or UC during thyroidectomy. The operative time and cost of thyroidectomy were compared between the two groups. Results: There was no statistically significant difference in patient age, gender, body mass index, indication for thyroidectomy and thyroid gland weight between the two groups. There was no statistically significant difference in operating room cost or total cost for thyroidectomy between the B and UC groups. There was also no statistically significant difference in the operative time between the B and UC groups (187.6 vs. 184.2 min, P = 0.48) or in postoperative complication rates. The only statistically significant difference in total cost was between surgeons independent of the device used (P<0.01). Conclusions: In thyroid surgery, total cost and operative time were similar between the two surgical devices used.

Original languageEnglish (US)
Pages (from-to)1023-1027
Number of pages5
JournalAnnals of Surgical Oncology
Volume18
Issue number4
DOIs
StatePublished - Apr 2011

Fingerprint

Thyroidectomy
Hemostasis
Operative Time
Ultrasonics
Costs and Cost Analysis
Equipment and Supplies
Thyroid Gland
Thyroid Neoplasms
Randomized Controlled Trials
Thyroid Nodule
Hyperthyroidism
Operating Rooms
Tertiary Care Centers
Body Mass Index
Retrospective Studies
Prospective Studies
Weights and Measures

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy. / Rahbari, Reza; Mathur, Aarti; Kitano, Mio; Guerrero, Marlon A; Shen, Wen T.; Duh, Quan Yang; Clark, Orlo H.; Kebebew, Electron.

In: Annals of Surgical Oncology, Vol. 18, No. 4, 04.2011, p. 1023-1027.

Research output: Contribution to journalArticle

Rahbari, R, Mathur, A, Kitano, M, Guerrero, MA, Shen, WT, Duh, QY, Clark, OH & Kebebew, E 2011, 'Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy', Annals of Surgical Oncology, vol. 18, no. 4, pp. 1023-1027. https://doi.org/10.1245/s10434-010-1251-5
Rahbari, Reza ; Mathur, Aarti ; Kitano, Mio ; Guerrero, Marlon A ; Shen, Wen T. ; Duh, Quan Yang ; Clark, Orlo H. ; Kebebew, Electron. / Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy. In: Annals of Surgical Oncology. 2011 ; Vol. 18, No. 4. pp. 1023-1027.
@article{fb6cdeffad1e424f9e09b59a0f2c0a80,
title = "Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy",
abstract = "Background: Two surgical devices have become popular in thyroid surgery: a bipolar energy sealing system (B) and ultrasonic coagulation (UC). Retrospective and prospective studies have demonstrated that the use of these surgical devices for thyroidectomy compared with conventional thyroidectomy (clamp-and-tie) techniques reduces operative time and cost. We conducted a prospective randomized clinical trial to determine if there is any difference in operative time and cost between B and UC. Materials and Methods: A single-blinded prospective randomized controlled trial was conducted at a tertiary referral center. A total of 90 patients who required a thyroidectomy for thyroid cancer, thyroid nodules, or hyperthyroidism were randomized to either B or UC during thyroidectomy. The operative time and cost of thyroidectomy were compared between the two groups. Results: There was no statistically significant difference in patient age, gender, body mass index, indication for thyroidectomy and thyroid gland weight between the two groups. There was no statistically significant difference in operating room cost or total cost for thyroidectomy between the B and UC groups. There was also no statistically significant difference in the operative time between the B and UC groups (187.6 vs. 184.2 min, P = 0.48) or in postoperative complication rates. The only statistically significant difference in total cost was between surgeons independent of the device used (P<0.01). Conclusions: In thyroid surgery, total cost and operative time were similar between the two surgical devices used.",
author = "Reza Rahbari and Aarti Mathur and Mio Kitano and Guerrero, {Marlon A} and Shen, {Wen T.} and Duh, {Quan Yang} and Clark, {Orlo H.} and Electron Kebebew",
year = "2011",
month = "4",
doi = "10.1245/s10434-010-1251-5",
language = "English (US)",
volume = "18",
pages = "1023--1027",
journal = "Annals of Surgical Oncology",
issn = "1068-9265",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy

AU - Rahbari, Reza

AU - Mathur, Aarti

AU - Kitano, Mio

AU - Guerrero, Marlon A

AU - Shen, Wen T.

AU - Duh, Quan Yang

AU - Clark, Orlo H.

AU - Kebebew, Electron

PY - 2011/4

Y1 - 2011/4

N2 - Background: Two surgical devices have become popular in thyroid surgery: a bipolar energy sealing system (B) and ultrasonic coagulation (UC). Retrospective and prospective studies have demonstrated that the use of these surgical devices for thyroidectomy compared with conventional thyroidectomy (clamp-and-tie) techniques reduces operative time and cost. We conducted a prospective randomized clinical trial to determine if there is any difference in operative time and cost between B and UC. Materials and Methods: A single-blinded prospective randomized controlled trial was conducted at a tertiary referral center. A total of 90 patients who required a thyroidectomy for thyroid cancer, thyroid nodules, or hyperthyroidism were randomized to either B or UC during thyroidectomy. The operative time and cost of thyroidectomy were compared between the two groups. Results: There was no statistically significant difference in patient age, gender, body mass index, indication for thyroidectomy and thyroid gland weight between the two groups. There was no statistically significant difference in operating room cost or total cost for thyroidectomy between the B and UC groups. There was also no statistically significant difference in the operative time between the B and UC groups (187.6 vs. 184.2 min, P = 0.48) or in postoperative complication rates. The only statistically significant difference in total cost was between surgeons independent of the device used (P<0.01). Conclusions: In thyroid surgery, total cost and operative time were similar between the two surgical devices used.

AB - Background: Two surgical devices have become popular in thyroid surgery: a bipolar energy sealing system (B) and ultrasonic coagulation (UC). Retrospective and prospective studies have demonstrated that the use of these surgical devices for thyroidectomy compared with conventional thyroidectomy (clamp-and-tie) techniques reduces operative time and cost. We conducted a prospective randomized clinical trial to determine if there is any difference in operative time and cost between B and UC. Materials and Methods: A single-blinded prospective randomized controlled trial was conducted at a tertiary referral center. A total of 90 patients who required a thyroidectomy for thyroid cancer, thyroid nodules, or hyperthyroidism were randomized to either B or UC during thyroidectomy. The operative time and cost of thyroidectomy were compared between the two groups. Results: There was no statistically significant difference in patient age, gender, body mass index, indication for thyroidectomy and thyroid gland weight between the two groups. There was no statistically significant difference in operating room cost or total cost for thyroidectomy between the B and UC groups. There was also no statistically significant difference in the operative time between the B and UC groups (187.6 vs. 184.2 min, P = 0.48) or in postoperative complication rates. The only statistically significant difference in total cost was between surgeons independent of the device used (P<0.01). Conclusions: In thyroid surgery, total cost and operative time were similar between the two surgical devices used.

UR - http://www.scopus.com/inward/record.url?scp=79955807706&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79955807706&partnerID=8YFLogxK

U2 - 10.1245/s10434-010-1251-5

DO - 10.1245/s10434-010-1251-5

M3 - Article

C2 - 21072688

AN - SCOPUS:79955807706

VL - 18

SP - 1023

EP - 1027

JO - Annals of Surgical Oncology

JF - Annals of Surgical Oncology

SN - 1068-9265

IS - 4

ER -