Document Detail

Modified lateral neck lymphadenectomy: prospective randomized study comparing harmonic scalpel with clamp-and-tie technique.
MedLine Citation:
PMID:  19130963     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To compare the use of harmonic scalpel (HS) with clamp-and-tie technique to evaluate their comparative merits in modified lateral lymphadenectomy (LL). STUDY DESIGN: Prospective and randomized. SUBJECTS AND METHODS: Thirty-seven patients were recruited and divided into Group A (conventional; n = 20) and Group B (HS; n = 17). Thyroid volume, neck circumference, operative time, diameter of the tumor and lymph node, drainage volume, pain, and complications were compared. Operation consisted of thyroidectomy and LL. RESULTS: Groups were homogeneous for thyroid volume, diameter of thyroid nodule and lymph node, and neck circumference. Operative time was shorter in Group B than in Group A. The fluid collection in the vacuum between 24 and 48 hours and the increase of neck circumference were lower in Group B. Pain was significantly lower in Group B after 12 hours and decrease was faster in Group B. CONCLUSION: The use of HS during LL is as safe as conventional technique and may allow shorter operative time, lower lymphatic spillage, and faster decrease of pain.
Paolo Miccoli; Gabriele Materazzi; Lorenzo Fregoli; Erica Panicucci; Walter Kunz-Martinez; Piero Berti
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery     Volume:  140     ISSN:  0194-5998     ISO Abbreviation:  Otolaryngol Head Neck Surg     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-01-09     Completed Date:  2009-03-05     Revised Date:  2009-09-02    
Medline Journal Info:
Nlm Unique ID:  8508176     Medline TA:  Otolaryngol Head Neck Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  61-4     Citation Subset:  IM    
Dipartimento di Chirurgia, Università di Pisa, Pisa, Italy.
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MeSH Terms
Lymph Node Excision / methods*
Middle Aged
Neck / surgery*
Neck Dissection / methods
Prospective Studies
Thyroidectomy / methods
Ultrasonic Therapy / methods
Comment In:
Otolaryngol Head Neck Surg. 2009 Aug;141(2):303-4; author reply 304   [PMID:  19643277 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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