title: Harmonic focus in total thyroidectomy plus level III-IV and VI dissection: a prospective randomized study.
abstract: The aim of this study was to compare operating time, postoperative outcomes, and surgical complications of total thyroidectomy plus level III-IV and VI dissection between the no-tie technique using the Harmonic Focus and classic suture ligation for hemostasis. Fifty-four patients underwent total thyroidectomy plus level III-IV and VI dissection by classic suture ligation and 51 patients by the Harmonic Focus. There was obvious distinction as to the operating time between the Focus and classic group (102.8 and 150.1 minutes, respectively, P < 0.05). Drainage volume (202.7 ± 187.0 mL vs 299.7 ± 201.4 mL, P < 0.05) were significantly lower in the Focus group. Transient hypoparathyroidism had no statistically significant difference between the groups (17.6% vs 18.5%, P > 0 .05). No patient experienced nerve injury or permanent hypocalcemia. The use of Harmonic Focus for the control of thyroid vessels during thyroid surgery is reliable and safe. The device can offer extraordinary capabilities for delicate tissue grasping and dissection.
authors: Department of Thyroid and Breast Surgery, Jinan Military General Hospital, Jinan, People's Republic of China. heqingqing@yeah.net
authors: Qingqing
authors: Q
authors: He
authors: Dayong
authors: D
authors: Zhuang
authors: Luming
authors: L
authors: Zheng
authors: Peng
authors: P
authors: Zhou
authors: Jixin
authors: J
authors: Chai
authors: Zhen
authors: Z
authors: Lv
mesh_terms: D000328:Adult; D000368:Aged; D002291:Carcinoma, Papillary / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004322:Drainage; D005260:Female; D006488:Hemostasis, Surgical; D006801:Humans; D006996:Hypocalcemia / Q000209:etiology / Q000473:pathology; D007011:Hypoparathyroidism; D008198:Lymph Nodes / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D011446:Prospective Studies; D013964:Thyroid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013965:Thyroidectomy; D014826:Vocal Cord Paralysis / Q000209:etiology / Q000473:pathology; D055815:Young Adult