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KMID : 0371320090760030149
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Journal of the Korean Surgical Society
2009 Volume.76 No. 3 p.149 ~ p.153
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A Comparison of Conventional Thyroidectomy and LVSS Thyroidectomy: The Feasibility of the LVSS in the Thyroid Operation
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Lee Chang-Min
Kim Je-Ryong
Kang Dae-Young
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Abstract
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Purpose: Recently, Ligasure vessel sealing system (LVSS) is being introduced in thyroid operations. In this study, we compare the clinical outcomes of LVSS using thyroidectomy with those of conventional thyroidectomy.
Methods: From Nov 2006 to Oct 2008, 400 patients managed with total thyroidectomy were investigated. Half of them (the conventional group) were operated on with conventional methods, whereas another half (the LVSS group) were operated on using LVSS. Operation time, amount of drainage, duration of drainage, hospital stay, and complications (numbness, hoarseness, hematoma) of the two groups were compared.
Results: The mean operation time of the LVSS group was 87.53±27.49 (min), and that of the conventional group was 120.48±39.51 (min). Therefore, operation times of the LVSS group was significantly shorter than that of the conventional group (P＜0.001). But, there was no significant difference in the amount of drainage, duration of drainage, duration of hospital stay, and the incidences of complications.
Conclusion: Our studies show the effectiveness and safety of LVSS in thyroid operations. We advocate the application of LVSS to thyroid operations. (J Korean Surg Soc 2009;76:149-153)
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KEYWORD
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Ligasure, Vessel, Sealing, Thyroidectomy, Operation time
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