Surgical completeness of total thyroidectomy using harmonic scalpel

Comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients

Jong Ju Jeong, Kyu Hyung Kim, Yoonwoo Koh, Kee Hyun Nam, Woong Youn Chung, Cheong Soo Park

Research output: Contribution to journalArticle

2 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)267-273
Number of pages7
JournalJournal of the Korean Surgical Society
Volume83
Issue number5
DOIs
Publication statusPublished - 2012 Nov 1

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Thyroidectomy
Thyrotropin
Thyroglobulin
Serum
Factor IX
Papillary Thyroid cancer
Drainage
Length of Stay

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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title = "Surgical completeness of total thyroidectomy using harmonic scalpel: Comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients",
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.",
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Surgical completeness of total thyroidectomy using harmonic scalpel : Comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. / Jeong, Jong Ju; Kim, Kyu Hyung; Koh, Yoonwoo; Nam, Kee Hyun; Chung, Woong Youn; Park, Cheong Soo.

In: Journal of the Korean Surgical Society, Vol. 83, No. 5, 01.11.2012, p. 267-273.

Research output: Contribution to journalArticle

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AU - Jeong, Jong Ju

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AU - Chung, Woong Youn

AU - Park, Cheong Soo

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