Comparison of hypocalcemia rates between LigaSure and clamp-and-tie hemostatic technique in total thyroidectomies
- Title
- Comparison of hypocalcemia rates between LigaSure and clamp-and-tie hemostatic technique in total thyroidectomies
- Author
- 태경
- Keywords
- clamp-and-tie; hypocalcemia; LigaSure; parathyroid preservation; thyroid surgery
- Issue Date
- 2019-10
- Publisher
- WILEY
- Citation
- HEAD AND NECK-JOURNAL FOR THE SCIENCES AND SPECIALTIES OF THE HEAD AND NECK, v. 41, no. 10, Page. 3677-3683
- Abstract
- Background Postoperative hypocalcemia (PH) is a serious complication after total thyroidectomy. This study aimed to compare PH rates between LigaSure Small Jaw (LSJ) and clamp-and-tie hemostatic technique in patients undergoing total thyroidectomy. Methods Four hundred twenty patients were divided into two groups: group L (210 patients) performed with LSJ and group C (210 patients) with clamp-and-tie technique. Serum ionized calcium (iCa) was measured before and 12, 24, 48, 72 hours after surgery. PH was defined as iCa lower than 4.2 mg/dL in at least two measurements. Results There was no significant difference between groups in sex, age, extent of surgery, pathology, and the strategy of intraoperative management of parathyroid glands (PG). The PH rate was significantly lower in group L compared to group C (22.9% vs 32.4%, P = .03). Conclusions Compared to clamp-and-tie technique, LigaSure is superior to decrease PH rate after total thyroidectomy.
- URI
- https://onlinelibrary.wiley.com/doi/full/10.1002/hed.25884https://repository.hanyang.ac.kr/handle/20.500.11754/154176
- ISSN
- 1043-3074; 1097-0347
- DOI
- 10.1002/hed.25884
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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