Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 JIAN Yongping , CHEN Ruifeng , LI Baolong , QI Fujian

Department of General Surgery, The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, P. R. China;

Corresponding?author：

JIAN Yongping, Email: 2484772232@qq.com

Keywords：

harmonic scalpel; traditional electric knife; thyroidectomy; complication

DOI：

10.7507/1007-9424.201704066

Video：

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Objective To compare the efficacy and complication between harmonic scalpel and traditional electric knife in open thyroidectomy. Methods A total of 160 thyroid disease patients who underwent open thyroidectomy in The Fifth Affiliated Hospital of Southern Medical University from February 2016 to January 2017, were collected and divided into harmonic scalpel group and traditional electric knife group randomly, each group enrolled 80 patients. The efficacy of thyroidectomy, postoperative pain, and complication between the 2 groups were compared and analyzed. Results Compared with the traditional electric knife group, the operation time, intraoperative blood loss, postoperative drainage volume, postoperative drainage time, length of incision, and hospital stay were all significantly lower in the harmonic scalpel group (P<0.05). The incidences hoarseness, wound bleeding, hypoparathyroidism, and total complication in the harmonic scalpel group were all lower than those of the traditional electric knife group (P<0.05). The pain scores after operation in the harmonic scalpel group were significant lower than corresponding pain scores of the traditional electric knife group (P<0.05). Conclusion The harmonic scalpel could effectively improve the efficacy of open thyroidectomy, reduce the pain degree and the incidence of complication in thyroid disease patients.

Citation： JIAN Yongping, CHEN Ruifeng, LI Baolong, QI Fujian. Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(10): 1226-1229. doi: 10.7507/1007-9424.201704066 Copy

1.	Jiang K, Zhu Y, Zhou G, et al. Safe distance between electrotome and recurrent laryngeal nerve: an experimental canine model. Int J Clin Exp Med, 2015, 8(1): 770-775.
2.	Richer SL, Wenig BL. Changes in surgical anatomy following thyroidectomy. Otolaryngol Clin North Am, 2008, 41(6): 1069-1078.
3.	李松燔. 鉗式超聲刀輔助與傳統方式(電刀)甲狀腺切除術手術并發癥的對比觀察. 中國醫療器械信息, 2016, 22(12): 64-65.0.
4.	周付嬌. 心臟病術后疼痛的評估與護理. 中國現代藥物應用, 2013, 7(22): 175-176.0.
5.	Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
6.	張弘瑋, 張頻. 內鏡甲狀腺手術技術新進展. 上海醫學, 2010, 33(7): 691-693.0.
7.	Nanka O, Libánsky P, Sedy J, et al. Surgical-anatomical study as a part of operative treatment of primary hyperparathyroidism. Rozhl Chir, 2006, 85(12): 618-623.
8.	劉星偉, 李堅, 鄒勁林, 等. 甲狀腺手術使用超聲刀與甲狀旁腺保護. 中華全科醫學, 2010, 8(7): 827-828.0.
9.	趙海平, 駱明遠, 孫文輝, 等. Focus 超聲刀在甲狀腺手術中甲狀旁腺的功能保護及對術后血鈣水平的影響. 浙江創傷外科, 2013, 18(6): 814-817.0.
10.	Roh JL, Park JY, Park CI. Prevention of postoperative hypocalcemia with routine oral calcium and vitamin D supplements in patients with differentiated papillary thyroid carcinoma undergoing total thyroidectomy plus central neck dissection. Cancer, 2009, 115(2): 251-258.
11.	薛家鵬, 王明華, 王耕, 等. FOCUS 超聲刀開放性甲狀腺切除術的臨床療效評價. 中國全科醫學, 2012, 15(6): 641-643.0.
12.	陳獻珊, 陳鋒夏. 超聲刀 FOCUS 在開放性甲狀腺手術中的應用. 海南醫學, 2012, 23(23): 42-43.0.
13.	黃囯祥, 楊峰. FOCUS 超聲刀在開放性甲狀腺手術中的應用價值分析. 齊齊哈爾醫學院學報, 2014, 35(1): 15-17.0.
14.	王金重, 陳海明. 超聲刀 FOCUS 在開放甲狀腺手術中的應用. 中國現代手術學雜志, 2013, 17(2): 115-117.0.
15.	龍淼云, 黎洪浩, 彭新治, 等. 鉗式超聲刀輔助與傳統方式 (電刀) 甲狀腺切除術手術并發癥的比較研究. 中華內分泌外科雜志, 2011, 5(5): 331-332, 347.0.
16.	張偉. FOCUS 超聲刀與傳統單極電刀在開放甲狀腺切除術中的對比研究. 長春: 吉林大學, 2012: 38-42.
17.	林寒冰, 黃帆, 王東海, 等. 超聲刀與傳統方式 (電刀) 甲狀腺切除術對甲狀旁腺功能的保護作用比較. 中國醫師進修雜志, 2013, 36(17): 52-54.0.
18.	高小尚, 黎艷娟, 劉佳, 等. 比較甲狀腺手術中超聲刀與傳統電刀對喉返神經的保護作用. 首都醫藥, 2014, (18): 30-31.0.
19.	陳治橫, 林雙, 蔣洪鋼, 等. 超聲刀在甲狀腺癌改良式頸淋巴結清掃術中的應用研究. 浙江醫學, 2013, 35(10): 921-922.0.
20.	吳旦平. 超聲刀與傳統電刀應用于開放性甲狀腺手術的比較研究. 中國現代手術學雜志, 2015, 19(4): 271-273.0.
21.	余招焱, 朱昕, 袁平, 等. 超聲刀在甲狀腺手術中的應用價值及體會. 山東醫藥, 2017, 57(4): 93-95.0.
22.	孫巖, 田偉軍, 梁曉宇, 等. 甲狀腺手術中超聲刀應用與喉返神經保護. 中國中西醫結合外科雜志, 2013, 19(2): 143-145.0.
23.	Xiang D, Xie L, Li Z, et al. Endoscopic thyroidectomy along with bilateral central neck dissection (ETBC) increases the risk of transient hypoparathyroidism for patients with thyroid carcinoma. Endocrine, 2016, 53(3): 747-753.
24.	Smith RB, Coughlin A. Thyroidectomy Hemostasis. Otolaryngol Clin North Am, 2016, 49(3): 727-748.
25.	Kafa H, Wang JT, Rubio N, et al. The interaction of carbon nanotubes with an in vitro blood-brain barrier model and mouse brain in vivo. Biomaterials, 2015, 53: 437-452.

1. Jiang K, Zhu Y, Zhou G, et al. Safe distance between electrotome and recurrent laryngeal nerve: an experimental canine model. Int J Clin Exp Med, 2015, 8(1): 770-775.
2. Richer SL, Wenig BL. Changes in surgical anatomy following thyroidectomy. Otolaryngol Clin North Am, 2008, 41(6): 1069-1078.
3. 李松燔. 鉗式超聲刀輔助與傳統方式(電刀)甲狀腺切除術手術并發癥的對比觀察. 中國醫療器械信息, 2016, 22(12): 64-65.0.
4. 周付嬌. 心臟病術后疼痛的評估與護理. 中國現代藥物應用, 2013, 7(22): 175-176.0.
5. Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
6. 張弘瑋, 張頻. 內鏡甲狀腺手術技術新進展. 上海醫學, 2010, 33(7): 691-693.0.
7. Nanka O, Libánsky P, Sedy J, et al. Surgical-anatomical study as a part of operative treatment of primary hyperparathyroidism. Rozhl Chir, 2006, 85(12): 618-623.
8. 劉星偉, 李堅, 鄒勁林, 等. 甲狀腺手術使用超聲刀與甲狀旁腺保護. 中華全科醫學, 2010, 8(7): 827-828.0.
9. 趙海平, 駱明遠, 孫文輝, 等. Focus 超聲刀在甲狀腺手術中甲狀旁腺的功能保護及對術后血鈣水平的影響. 浙江創傷外科, 2013, 18(6): 814-817.0.
10. Roh JL, Park JY, Park CI. Prevention of postoperative hypocalcemia with routine oral calcium and vitamin D supplements in patients with differentiated papillary thyroid carcinoma undergoing total thyroidectomy plus central neck dissection. Cancer, 2009, 115(2): 251-258.
11. 薛家鵬, 王明華, 王耕, 等. FOCUS 超聲刀開放性甲狀腺切除術的臨床療效評價. 中國全科醫學, 2012, 15(6): 641-643.0.
12. 陳獻珊, 陳鋒夏. 超聲刀 FOCUS 在開放性甲狀腺手術中的應用. 海南醫學, 2012, 23(23): 42-43.0.
13. 黃囯祥, 楊峰. FOCUS 超聲刀在開放性甲狀腺手術中的應用價值分析. 齊齊哈爾醫學院學報, 2014, 35(1): 15-17.0.
14. 王金重, 陳海明. 超聲刀 FOCUS 在開放甲狀腺手術中的應用. 中國現代手術學雜志, 2013, 17(2): 115-117.0.
15. 龍淼云, 黎洪浩, 彭新治, 等. 鉗式超聲刀輔助與傳統方式 (電刀) 甲狀腺切除術手術并發癥的比較研究. 中華內分泌外科雜志, 2011, 5(5): 331-332, 347.0.
16. 張偉. FOCUS 超聲刀與傳統單極電刀在開放甲狀腺切除術中的對比研究. 長春: 吉林大學, 2012: 38-42.
17. 林寒冰, 黃帆, 王東海, 等. 超聲刀與傳統方式 (電刀) 甲狀腺切除術對甲狀旁腺功能的保護作用比較. 中國醫師進修雜志, 2013, 36(17): 52-54.0.
18. 高小尚, 黎艷娟, 劉佳, 等. 比較甲狀腺手術中超聲刀與傳統電刀對喉返神經的保護作用. 首都醫藥, 2014, (18): 30-31.0.
19. 陳治橫, 林雙, 蔣洪鋼, 等. 超聲刀在甲狀腺癌改良式頸淋巴結清掃術中的應用研究. 浙江醫學, 2013, 35(10): 921-922.0.
20. 吳旦平. 超聲刀與傳統電刀應用于開放性甲狀腺手術的比較研究. 中國現代手術學雜志, 2015, 19(4): 271-273.0.
21. 余招焱, 朱昕, 袁平, 等. 超聲刀在甲狀腺手術中的應用價值及體會. 山東醫藥, 2017, 57(4): 93-95.0.
22. 孫巖, 田偉軍, 梁曉宇, 等. 甲狀腺手術中超聲刀應用與喉返神經保護. 中國中西醫結合外科雜志, 2013, 19(2): 143-145.0.
23. Xiang D, Xie L, Li Z, et al. Endoscopic thyroidectomy along with bilateral central neck dissection (ETBC) increases the risk of transient hypoparathyroidism for patients with thyroid carcinoma. Endocrine, 2016, 53(3): 747-753.
24. Smith RB, Coughlin A. Thyroidectomy Hemostasis. Otolaryngol Clin North Am, 2016, 49(3): 727-748.
25. Kafa H, Wang JT, Rubio N, et al. The interaction of carbon nanotubes with an in vitro blood-brain barrier model and mouse brain in vivo. Biomaterials, 2015, 53: 437-452.

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Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy

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