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Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients.

Authors
 Jong Ju Jeong  ;  Kyu Hyung Kim  ;  Yoon Woo Koh  ;  Kee-Hyun Nam  ;  Woong Youn Chung  ;  Cheong Soo Park 
Citation
 JOURNAL OF THE KOREAN SURGICAL SOCIETY , Vol.83(5) : 267-273, 2012 
Journal Title
JOURNAL OF THE KOREAN SURGICAL SOCIETY
ISSN
 2233-7903 
Issue Date
2012
Keywords
Ablation ; Completeness ; Harmonic scalpel ; Papillary thyroid cancer ; Thyroidectomy
Abstract
PURPOSE: The aim of this study was to compare the surgical completeness and outcome of total thyroidectomy in two patient groups: One treated by harmonic scalpel (HS) and one by conventional total thyroidectomy (CT). METHODS: Between March 2006 and December 2007, 104 patients had total thyroidectomy by HS and 108 patients underwent CT. We analyzed clinicopathological characteristics and stimulated serum thyroid-stimulating hormone (TSH), thyroglobulin (Tg), and anti-Tg antibodies at the time of ablation for both groups. RESULTS: Compared with the CT group, the HS group had shorter operating time and hospital stays and reduced postoperative drainage. At postsurgical ablation, mean serum TSH was 80.47 +/- 21.77 mU/L in the HS group and 69.74 +/- 21.17 mU/L in the CT group, with significant between-group differences (P < 0.001). Mean serum Tg levels after TSH stimulation were 1.57 +/- 3.17 and 3.95 +/- 10.14 ng/mL in the HS and CT groups, respectively, with significant between-group differences (P = 0.028). CONCLUSION: Total thyroidectomy with an HS is a relatively safe and effective technique for use in patients with PTC. The HS provides surgical completeness and has a beneficial effect on successful ablation.
Files in This Item:
T201204225.pdf Download
DOI
23166885
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Koh, Yoon Woo(고윤우)
Kim, Kyu Hyung(김규형)
Nam, Kee Hyun(남기현) ORCID logo https://orcid.org/0000-0002-6852-1190
Park, Cheong Soo(박정수)
Chung, Woong Youn(정웅윤)
Jeong, Jong Ju(정종주) ORCID logo https://orcid.org/0000-0002-4155-6035
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91158
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