Document Detail

The use of "harmonic scalpel" versus "knot tying" for conventional "open" thyroidectomy: results of a prospective randomized study.
MedLine Citation:
PMID:  18626654     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We evaluated the safety and cost-effectiveness of the harmonic scalpel (HS) during conventional "open" thyroidectomy (CT). MATERIALS AND METHODS: Two hundred patients scheduled for conventional total thyroidectomy (TT) were included in the study and randomly assigned to TT with the use of HS (HS group) or with knot tying technique (KT group). RESULTS: Mean operative time was significantly shorter in the HS group (P < 0.001), as well as the total operative room occupation time (P < 0.001). The cost of the disposable materials is significantly higher in the HS group (420.1 +/- 23.2 vs 137.8 +/- 25.3 euros; P < 0.001). Conversely, drugs, personnel and operative room charges were significantly higher in KT group patients (P < 0.001). Overall, no significant difference was found between the two groups concerning the charges of the hospitalisation (P = NS). CONCLUSIONS: HS is a safe alternative to KT, allowing for a significant reduction of operative time without increasing complications rate and overall costs and probably better utilization of health resources.
Celestino Pio Lombardi; Marco Raffaelli; Americo Cicchetti; Marco Marchetti; Carmela De Crea; Rossella Di Bidino; Luigi Oragano; Rocco Bellantone
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Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial     Date:  2008-07-15
Journal Detail:
Title:  Langenbeck's archives of surgery / Deutsche Gesellschaft für Chirurgie     Volume:  393     ISSN:  1435-2451     ISO Abbreviation:  Langenbecks Arch Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-09-08     Completed Date:  2009-05-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9808285     Medline TA:  Langenbecks Arch Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  627-31     Citation Subset:  IM    
Divisione di Chirurgia Endocrina, Istituto di Semeiotica Chirurgica, Universitá Cattolica del Sacro Cuore, L.go A. Gemelli 8, 00168, Rome, Italy.
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MeSH Terms
Cost-Benefit Analysis
Cross-Sectional Studies
Double-Blind Method
Equipment Design
Equipment Safety
Follow-Up Studies
Hemostatic Techniques / economics,  instrumentation
Middle Aged
Postoperative Complications / economics,  epidemiology,  etiology
Prospective Studies
Surgical Instruments* / economics
Suture Techniques*
Thyroidectomy / economics,  instrumentation*
Treatment Outcome
Ultrasonic Therapy / economics,  instrumentation*
Comment In:
Langenbecks Arch Surg. 2009 May;394(3):579-80; author reply 581-6   [PMID:  19107506 ]

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

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