Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 JIAN Yongping , CHEN Ruifeng , LI Baolong , QI Fujian

Department of General Surgery, The Fifth Affiliated Hospital of Southern Medical University, Guangzhou 510900, P. R. China;

Corresponding author：

JIAN Yongping, Email: 2484772232@qq.com

Keywords：

harmonic scalpel; traditional electric knife; thyroidectomy; complication

DOI：

10.7507/1007-9424.201704066

Video：

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Objective To compare the efficacy and complication between harmonic scalpel and traditional electric knife in open thyroidectomy. Methods A total of 160 thyroid disease patients who underwent open thyroidectomy in The Fifth Affiliated Hospital of Southern Medical University from February 2016 to January 2017, were collected and divided into harmonic scalpel group and traditional electric knife group randomly, each group enrolled 80 patients. The efficacy of thyroidectomy, postoperative pain, and complication between the 2 groups were compared and analyzed. Results Compared with the traditional electric knife group, the operation time, intraoperative blood loss, postoperative drainage volume, postoperative drainage time, length of incision, and hospital stay were all significantly lower in the harmonic scalpel group (P<0.05). The incidences hoarseness, wound bleeding, hypoparathyroidism, and total complication in the harmonic scalpel group were all lower than those of the traditional electric knife group (P<0.05). The pain scores after operation in the harmonic scalpel group were significant lower than corresponding pain scores of the traditional electric knife group (P<0.05). Conclusion The harmonic scalpel could effectively improve the efficacy of open thyroidectomy, reduce the pain degree and the incidence of complication in thyroid disease patients.

Citation： JIAN Yongping, CHEN Ruifeng, LI Baolong, QI Fujian. Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(10): 1226-1229. doi: 10.7507/1007-9424.201704066 Copy

1.	Jiang K, Zhu Y, Zhou G, et al. Safe distance between electrotome and recurrent laryngeal nerve: an experimental canine model. Int J Clin Exp Med, 2015, 8(1): 770-775.
2.	Richer SL, Wenig BL. Changes in surgical anatomy following thyroidectomy. Otolaryngol Clin North Am, 2008, 41(6): 1069-1078.
3.	李松燔. 钳式超声刀辅助与传统方式(电刀)甲状腺切除术手术并发症的对比观察. 中国医疗器械信息, 2016, 22(12): 64-65.0.
4.	周付娇. 心脏病术后疼痛的评估与护理. 中国现代药物应用, 2013, 7(22): 175-176.0.
5.	Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
6.	张弘玮, 张频. 内镜甲状腺手术技术新进展. 上海医学, 2010, 33(7): 691-693.0.
7.	Nanka O, Libánsky P, Sedý J, et al. Surgical-anatomical study as a part of operative treatment of primary hyperparathyroidism. Rozhl Chir, 2006, 85(12): 618-623.
8.	刘星伟, 李坚, 邹劲林, 等. 甲状腺手术使用超声刀与甲状旁腺保护. 中华全科医学, 2010, 8(7): 827-828.0.
9.	赵海平, 骆明远, 孙文辉, 等. Focus 超声刀在甲状腺手术中甲状旁腺的功能保护及对术后血钙水平的影响. 浙江创伤外科, 2013, 18(6): 814-817.0.
10.	Roh JL, Park JY, Park CI. Prevention of postoperative hypocalcemia with routine oral calcium and vitamin D supplements in patients with differentiated papillary thyroid carcinoma undergoing total thyroidectomy plus central neck dissection. Cancer, 2009, 115(2): 251-258.
11.	薛家鹏, 王明华, 王耕, 等. FOCUS 超声刀开放性甲状腺切除术的临床疗效评价. 中国全科医学, 2012, 15(6): 641-643.0.
12.	陈献珊, 陈锋夏. 超声刀 FOCUS 在开放性甲状腺手术中的应用. 海南医学, 2012, 23(23): 42-43.0.
13.	黄囯祥, 杨峰. FOCUS 超声刀在开放性甲状腺手术中的应用价值分析. 齐齐哈尔医学院学报, 2014, 35(1): 15-17.0.
14.	王金重, 陈海明. 超声刀 FOCUS 在开放甲状腺手术中的应用. 中国现代手术学杂志, 2013, 17(2): 115-117.0.
15.	龙淼云, 黎洪浩, 彭新治, 等. 钳式超声刀辅助与传统方式 (电刀) 甲状腺切除术手术并发症的比较研究. 中华内分泌外科杂志, 2011, 5(5): 331-332, 347.0.
16.	张伟. FOCUS 超声刀与传统单极电刀在开放甲状腺切除术中的对比研究. 长春: 吉林大学, 2012: 38-42.
17.	林寒冰, 黄帆, 王东海, 等. 超声刀与传统方式 (电刀) 甲状腺切除术对甲状旁腺功能的保护作用比较. 中国医师进修杂志, 2013, 36(17): 52-54.0.
18.	高小尚, 黎艳娟, 刘佳, 等. 比较甲状腺手术中超声刀与传统电刀对喉返神经的保护作用. 首都医药, 2014, (18): 30-31.0.
19.	陈治横, 林双, 蒋洪钢, 等. 超声刀在甲状腺癌改良式颈淋巴结清扫术中的应用研究. 浙江医学, 2013, 35(10): 921-922.0.
20.	吴旦平. 超声刀与传统电刀应用于开放性甲状腺手术的比较研究. 中国现代手术学杂志, 2015, 19(4): 271-273.0.
21.	余招焱, 朱昕, 袁平, 等. 超声刀在甲状腺手术中的应用价值及体会. 山东医药, 2017, 57(4): 93-95.0.
22.	孙岩, 田伟军, 梁晓宇, 等. 甲状腺手术中超声刀应用与喉返神经保护. 中国中西医结合外科杂志, 2013, 19(2): 143-145.0.
23.	Xiang D, Xie L, Li Z, et al. Endoscopic thyroidectomy along with bilateral central neck dissection (ETBC) increases the risk of transient hypoparathyroidism for patients with thyroid carcinoma. Endocrine, 2016, 53(3): 747-753.
24.	Smith RB, Coughlin A. Thyroidectomy Hemostasis. Otolaryngol Clin North Am, 2016, 49(3): 727-748.
25.	Kafa H, Wang JT, Rubio N, et al. The interaction of carbon nanotubes with an in vitro blood-brain barrier model and mouse brain in vivo. Biomaterials, 2015, 53: 437-452.

1. Jiang K, Zhu Y, Zhou G, et al. Safe distance between electrotome and recurrent laryngeal nerve: an experimental canine model. Int J Clin Exp Med, 2015, 8(1): 770-775.
2. Richer SL, Wenig BL. Changes in surgical anatomy following thyroidectomy. Otolaryngol Clin North Am, 2008, 41(6): 1069-1078.
3. 李松燔. 钳式超声刀辅助与传统方式(电刀)甲状腺切除术手术并发症的对比观察. 中国医疗器械信息, 2016, 22(12): 64-65.0.
4. 周付娇. 心脏病术后疼痛的评估与护理. 中国现代药物应用, 2013, 7(22): 175-176.0.
5. Jeong JJ, Kim KH, Koh YW, et al. Surgical completeness of total thyroidectomy using harmonic scalpel: comparison with conventional total thyroidectomy in papillary thyroid carcinoma patients. J Korean Surg Soc, 2012, 83(5): 267-273.
6. 张弘玮, 张频. 内镜甲状腺手术技术新进展. 上海医学, 2010, 33(7): 691-693.0.
7. Nanka O, Libánsky P, Sedý J, et al. Surgical-anatomical study as a part of operative treatment of primary hyperparathyroidism. Rozhl Chir, 2006, 85(12): 618-623.
8. 刘星伟, 李坚, 邹劲林, 等. 甲状腺手术使用超声刀与甲状旁腺保护. 中华全科医学, 2010, 8(7): 827-828.0.
9. 赵海平, 骆明远, 孙文辉, 等. Focus 超声刀在甲状腺手术中甲状旁腺的功能保护及对术后血钙水平的影响. 浙江创伤外科, 2013, 18(6): 814-817.0.
10. Roh JL, Park JY, Park CI. Prevention of postoperative hypocalcemia with routine oral calcium and vitamin D supplements in patients with differentiated papillary thyroid carcinoma undergoing total thyroidectomy plus central neck dissection. Cancer, 2009, 115(2): 251-258.
11. 薛家鹏, 王明华, 王耕, 等. FOCUS 超声刀开放性甲状腺切除术的临床疗效评价. 中国全科医学, 2012, 15(6): 641-643.0.
12. 陈献珊, 陈锋夏. 超声刀 FOCUS 在开放性甲状腺手术中的应用. 海南医学, 2012, 23(23): 42-43.0.
13. 黄囯祥, 杨峰. FOCUS 超声刀在开放性甲状腺手术中的应用价值分析. 齐齐哈尔医学院学报, 2014, 35(1): 15-17.0.
14. 王金重, 陈海明. 超声刀 FOCUS 在开放甲状腺手术中的应用. 中国现代手术学杂志, 2013, 17(2): 115-117.0.
15. 龙淼云, 黎洪浩, 彭新治, 等. 钳式超声刀辅助与传统方式 (电刀) 甲状腺切除术手术并发症的比较研究. 中华内分泌外科杂志, 2011, 5(5): 331-332, 347.0.
16. 张伟. FOCUS 超声刀与传统单极电刀在开放甲状腺切除术中的对比研究. 长春: 吉林大学, 2012: 38-42.
17. 林寒冰, 黄帆, 王东海, 等. 超声刀与传统方式 (电刀) 甲状腺切除术对甲状旁腺功能的保护作用比较. 中国医师进修杂志, 2013, 36(17): 52-54.0.
18. 高小尚, 黎艳娟, 刘佳, 等. 比较甲状腺手术中超声刀与传统电刀对喉返神经的保护作用. 首都医药, 2014, (18): 30-31.0.
19. 陈治横, 林双, 蒋洪钢, 等. 超声刀在甲状腺癌改良式颈淋巴结清扫术中的应用研究. 浙江医学, 2013, 35(10): 921-922.0.
20. 吴旦平. 超声刀与传统电刀应用于开放性甲状腺手术的比较研究. 中国现代手术学杂志, 2015, 19(4): 271-273.0.
21. 余招焱, 朱昕, 袁平, 等. 超声刀在甲状腺手术中的应用价值及体会. 山东医药, 2017, 57(4): 93-95.0.
22. 孙岩, 田伟军, 梁晓宇, 等. 甲状腺手术中超声刀应用与喉返神经保护. 中国中西医结合外科杂志, 2013, 19(2): 143-145.0.
23. Xiang D, Xie L, Li Z, et al. Endoscopic thyroidectomy along with bilateral central neck dissection (ETBC) increases the risk of transient hypoparathyroidism for patients with thyroid carcinoma. Endocrine, 2016, 53(3): 747-753.
24. Smith RB, Coughlin A. Thyroidectomy Hemostasis. Otolaryngol Clin North Am, 2016, 49(3): 727-748.
25. Kafa H, Wang JT, Rubio N, et al. The interaction of carbon nanotubes with an in vitro blood-brain barrier model and mouse brain in vivo. Biomaterials, 2015, 53: 437-452.

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Comparison of the effect of harmonic scalpel and traditional electric knife in open thyroidectomy

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