• J. Surg. Res. · Apr 2014

    Randomized Controlled Trial Comparative Study

    Comparison of surgical outcomes between papillary thyroid cancer patients treated with the Harmonic ACE scalpel and LigaSure Precise instrument during conventional thyroidectomy: a single-blind prospective randomized controlled trial.

    • Hee Yong Kwak, Byung Joo Chae, Yong-Gyu Park, Sang Hoon Kim, Eun Young Chang, Eun Jin Kim, Byung Joo Song, Sang Seol Jung, and Ja Seong Bae.
    • Department of Surgery, College of Medicine, Catholic University of Korea, Seoul St Mary's Hospital, Seoul, Republic of Korea.
    • J. Surg. Res. 2014 Apr 1;187(2):484-9.

    BackgroundThe aim of this study was to evaluate the safety and efficacy of thyroidectomy using the Harmonic ACE scalpel (HS) or the LigaSure Precise (LS) instrument in conventional thyroidectomy.Materials And MethodsA prospective, randomized controlled trial was performed. Between August 2011 and June 2012, 832 patients who required thyroidectomy for papillary thyroid cancer were randomized into groups treated with either the HS or the LS instrument. Operative time and surgical morbidities were analyzed.ResultsA total of 320 patients (HS group, N = 164; LS instrument group, N = 156) were randomized for analysis according to the intention-to-treat principle. There were no statistically significant differences in the operative times (HS group versus LS instrument group: 71.93 ± 18.26 versus 75.15 ± 20.13; P = 0.423), postoperative transient hypoparathyroidism (13.4% versus 14.1%; P = 0.858), and permanent recurrent laryngeal nerve injuries between the two groups.ConclusionsIn this study, both hemostatic devices were safe and effective in terms of postoperative results and complications without any differences.Copyright © 2014 Elsevier Inc. All rights reserved.

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