THE IMPACT OF HARMONIC SCALPEL ON COMPLICATIONS AFTER NECK DISSECTION IN PAPILLARY THYROID CARCINOMA: A PROSPECTIVE RANDOMIZED STUDY
|Fahri YetiÅir1*, Banu Yürekli2, A Ebru Salman3, Mustafa Ünal4, Hasan Zafer Acar5, Murat B Yildirim1 and Mehmet Kilic6|
|1Ankara Atatürk Research and Trainning Hospital, General Surgery Department, Turkey|
|2Bozyaka Research and Trainning Hospital, Endocrinology, Turkey|
|3Ankara Atatürk Research and Training Hospital, Anesthesiology and Reanimation Department, Turkey|
|4Etlik Research and Training Hospital, Endocrinology, Turkey|
|5Yozgat Bozok University, General Surgery, Turkey|
|6Yildirim Beyazit University, General Surgery Department, Turkey|
|Corresponding Author :||Dr. Fahri YetiÅir
Etlik Research and Training Hospital General Surgery, Turkey
Tel: +90 536 297 48 88
E-mail: [email protected]
|Received October 17, 2012; Accepted October 27, 2012; Published October 29, 2012|
|Citation: YetiÅir F, Yürekli B, Salman , Ünal M, Acar HZ, et al. (2012) The Impact of Harmonic Scalpel on Complications after Neck Dissection in Papillary Thyroid Carcinoma: A Prospective Randomized Study. Thyroid Disorders Ther 1:117. doi:10.4172/2167-7948.1000117|
|Copyright: © 2012 Yetisir F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.|
Aim: The aim of this study was to investigate whether Harmonic Scalpel (HS) increases the complication rate in the patients undergoing neck dissection in patients with Papillary Thyroid Carcinoma (PTC).
Methods: 95 patients with PTC undergoing bilateral total thyroidectomy and central or lateral neck dissection were included in to study. Patients whom heamostasis was carried out using HS at each stage of the operation were classified as group I (n=52), and patients whom heamostasis was performed without HS in the dissection of nerves and in the dissection of regions containing parathyroids and ductus thoracicus as Group II (n=43). Groups were compared in terms of operation time, postoperative nerve injury, hypoparathyroidsm and development of chylous fistula.
Results: Demographic data, stage of tumor and type of operation were similar between groups. Mean operation time was 19 min. shorter in group I (p=0.003). There was no difference in nerve injury and hypoparathyroidsm between groups. Chylous fistula was seen in 3(5.7%) patients in group I. It was not seen in group II.
Conclusion: Use of HS in patients with PTC undergoing neck dissection decreases operation time significantly without increasing the rate of nerve and parathyroid injury, but may increase the risk of development of chylous fistula.