Application value of low-temperature plasma bipolar forceps in thyroid cancer surgery
10.3969/j.issn.1006-7795.2025.03.021
- VernacularTitle:低温等离子双极镊在甲状腺癌手术中的应用价值
- Author:
Lingzhao MENG
1
;
Xiaopeng QU
;
Pengyu TAO
;
Fan YANG
;
Yuansheng RAO
;
Ru WANG
;
Jugao FANG
Author Information
1. 首都医科大学附属北京天坛医院耳鼻咽喉头颈外科,北京 100070
- Publication Type:Journal Article
- Keywords:
thyroid cancer;
low-temperature plasma bipolar forceps;
radiofrequency ablation;
ultrasonic scalpel;
monopolar electro-cautery
- From:
Journal of Capital Medical University
2025;46(3):553-558
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the application value of low-temperature plasma bipolar forceps in open thyroid cancer surgery.Methods The clinical data of 30 patients with differentiated thyroid cancer treated with low-temperature plasma bipolar forceps by our team from May 2021 to October 2024 were retrospectively analyzed.And 30 patients with differentiated thyroid cancer treated with monopolar electrocautery+ultrasonic scalpel were selected as the control group.The surgical procedures for both groups were thyroid lobectomy,isthmus resection+ipsilateral level Ⅵ lymph node dissection.The age,gender,body mass index(BMI),tumor TNM stage,operation time,intraoperative blood loss,48 h postoperative drainage volume,and surgical complications of the two groups were compared.Results There were no significant differences in age,gender,BMI,and tumor TNM stage between the two groups.The operation time,intraoperative blood loss,48 h postoperative drainage volume,and the incidence of postoperative transient hypoparathyroidism in the low-temperature plasma bipolar forceps group were significantly less than those in the control group(P＜0.05).There were no occurrences of postoperative subcutaneous hematoma,permanent recurrent laryngeal nerve palsy,and permanent hypoparathyroidism in both groups.Conclusion In thyroid cancer surgery,low-temperature plasma bipolar forceps can not only achieve fine detailed operations,but also effectively protect the blood supply of the recurrent laryngeal nerve,superior laryngeal nerve,and parathyroid glands.It has less trauma and a faster postoperative recovery,and is worthy of clinical promotion and application.
