Application of meticulous anatomy skills with straight bipolar electric coagulation forceps in thyroid surgery
10.3760/cma.j.issn.1673-0860.2020.02.010
- VernacularTitle: 采用直型双极电凝镊进行全程精细化解剖在甲状腺外科手术中的应用
- Author:
Shiwen ZHANG
1
;
Changming AN
2
;
Renchao HUANG
1
;
Xiaojiang LI
1
;
Liufang ZHAO
1
;
Hongyang XU
1
;
Yun HAI
1
;
Hao WANG
1
;
Youyu QIU
1
Author Information
1. First Department of Head and Neck Surgery, the Cancer Hospital of Yunnan Province, the Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China
2. Department of Head and Neck Surgery, Cancer Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100021, China
- Publication Type:Journal Article
- Keywords:
Thyroidectomy;
Electrocoagulation;
Rehabilitation;
Meticulous dissection technique
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2020;55(2):139-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the efficacies of the two techniques of "micro-hemostasis and micro-cutting" with straight bipolar electrocoagulation forceps and traditional clamp-ligation for hemostasia in thyroid surgery.
Methods:A total of 228 patients who underwent surgical treatment for thyroid neoplasms in our hospital between January 2015 and December 2018 were retrospectively analyzed, including 50 males and 178 females, aged 23-68 years old. Of those, 150 cases as electric knife group received traditional thyroid surgery between January 2015 and December 2018 and 78 cases as bipolar electrocoagulation group received thyroid surgery by using the technique of bipolar electrocoagulation with meticulous anatomy between January 2018 and December 2018. The total operation time, single operation time, intraoperative hemorrhage, postoperative drainage volume on the first day, postoperative hoarseness and hypocalcemia were compared between the two groups. SPSS 16.0 was used to analyze the data.
Results:The total operation time and intraoperative hemorrhage in the bipolar electrocoagulation group were significantly lower than those in the electric knife group ((59.33±18.29)min vs (77.21±25.39)min, (14.83±9.22)ml vs (36.86±11.80)ml, all P<0.01). The single operation time of the bipolar electrocoagulation group was shorter than that of the electric knife group((10.25±6.16) min vs (20.34±7.24)min, (16.25±7.15)min vs (35.68±8.25)min, (12.12±5.25)min vs (20.68±7.26)min, t value was 3.948,16.262,8.238, all P<0.01).There was no significant difference between the two groups in postoperative drainage volume on the first day (P>0.05) and the incidence of postoperative hoarseness (P>0.05), while the incidence of hypocalcemia in the bipolar electrocoagulation group(10.26%) was lower than that in the electric knife group(21.33%,χ2=4.353, P<0.05).
Conclusions:The fine dissection for thyroid operation can be achieved by using straight bipolar electrocoagulation tweezers. The use of "micro-hemostasis" and "micro-cutting" technique with bipolar electrocoagulation tweezers can greatly reduce intraoperative bleeding, operation time and postoperative complication.
