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Total Tiroidektomide Harmonic Scalpel Fayda Sağlıyor mu?

Is Harmonic Scalpel Benefi cial in Total Thyroidectomy?

Journal Name:

  • Akdeniz Tıp Dergisi

Publication Year:

  • 2015
DOI: 
10.17954/amj.2015.25

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Objective: The aim of this study was to investigate whether the use of the Harmonic Scalpel (HS) provides advantages in total thyroidectomy compared with the conventional technique (CT). Material and Methods: A total of 200 consecutive patients who underwent total thyroidectomy at the Department of General Surgery of the Akdeniz University Faculty of Medicine between 02.11.2009 and 21.07.2010 were included in the study. The patients were randomly divided into two groups. A total of 100 patients who underwent thyroidectomy using HS comprised the fi rst group and the remaining 100 patients who underwent thyroidectomy with the use of CT comprised the second group. The demographic data of the patients, operation and total anesthesia times, incision length, drainage amount, complication rate, and the FNAB (fi ne needle aspiration biopsy) and histopathology results of both groups were compared. Results: Operation and anesthesia times were found to be 16 minutes shorter in thyroidectomies performed using HS compared to the CT group (p<0.001). Transient and permanent nerve injuries, hypocalcemia and postoperative hemorrhage rates were not different between the groups. Conclusion: The operation time was found to have shortened without changes in thyroidectomyrelated complication rates using HS in total thyroidectomy. Thus, we believe that the use of the Harmonic Scalpel is an effective and safe method in thyroid surgery.
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Abstract (Original Language): 
Amaç: Tiroidektomide konvansiyonel tekniğin (KT) yıllardır güvenle uygulandığı bilinmektedir. Ancak teknolojinin ilerlemesi tiroid cerrahisinde de değişikliklere yol açmaktadır. Harmonic Scalpel (HS), bu yeni teknolojik cihazlardan biri olup elektrik enerjisini ultrasonik enerjiye çevirerek uç kısmındaki bıçakların yüksek frekanslı titreşmesiyle çalışır. Koagülasyon ve kesme işleminin aynı anda yapılmasına olanak sağlayarak diseksiyon kolaylığı sağlar. Bu çalışmanın amacı, total tiroidektomilerde HS kullanımının KT göre bir avantaj sağlayıp sağlamadığını araştırmaktır. Gereç ve Yöntemler: Akdeniz Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı’nda, 02.11.2009 ve 21.07.2010 tarihleri arasında, total tiroidektomi yapılan ardışık 200 hasta çalışmaya alındı. Hastalar randomize olarak iki gruba ayrıldı. Birinci grupta HS kullanılarak tirodektomi yapılan 100 hasta, diğer ikinci grupta ise KT uygulanarak tiroidektomi yapılan 100 hasta yer aldı. Her iki grup arasında hastaların demografi k verileri, ameliyat ve toplam anestezi süreleri, insizyon uzunlukları, drenaj miktarları, komplikasyon oranları, İİAB ve histopatolojik sonuçları karşılaştırıldı. Bulgular: HS ile yapılan tiroidektomilerde, ameliyat süresinin ve anestezi süresinin KT grubuna göre 16 dk kısa olduğu görüldü (p<0,001). Geçici ve kalıcı sinir hasarı, hipokalsemi ve ameliyat sonrası kanama oranları gruplar arasında anlamlı farklı bulunmadı. Sonuç: Sonuç olarak, total tiroidektomide HS kullanımı ile, tiroidektomiye ait komplikasyon oranları değişmeksizin ameliyat süresi kısalmaktadır. Bu nedenle tiroid cerrahisinde Harmonic Scalpel kullanımının etkin ve güvenilir bir yöntem olduğu kanısındayız.
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  • Turkish

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