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Total thyroidectomy with ultrasonic scalpel: A multicenter, randomized controlled trial

2012; Wiley; Volume: 34; Issue: 6 Linguagem: Inglês

10.1002/hed.21815

1097-0347

Luiz Paulo Kowalski, Álvaro Sanabria, José Guilherme Vartanian, Roberto A. Lima, Ullianov Bezerra Toscano de Mendonca, Carlos Roberto dos Santos, Domingos Boldrini Júnior, Luís Eduardo Barbalho de Mello, Fernando Paiva Pinto, Carlos Neutzling Lehn, Luiz Artur Costa Correa, Rogério Aparecido Dedivitis, André Vicente Guimarães, P.A.G. Pedruzzi, G.H.A. Ramos, Antônio José Gonçalves, Alexandre Babá Suehara, Jossi Ledo Kanda, Renato de Castro Capuzzo, José Carlos de Oliveira, María Paula Curado, José Francisco de Góis Filho, Érica E Fukuyama, Ivo Marquis Beserra Júnior, Paulo Bentes de Carvalho Neto, André Lopes Carvalho,

Cardiac, Anesthesia and Surgical Outcomes

Abstract Background The ultrasonic scalpel is a recently introduced device in head and neck surgery. Total thyroidectomy is the most common endocrine procedure performed by surgeons. Methods This was an open, phase IV, multicenter, randomized controlled trial (RCT) that compared the use of an ultrasonic scalpel with a conventional technique in patients who underwent total thyroidectomy. The outcomes were surgical complication rate, operative time, drainage volume, postoperative pain, and costs. Results In all, 261 patients were included in 11 centers. There was a mean difference of 17% of operative time in favor of the ultrasonic scalpel group. There were no differences in postoperative complications. There was a difference in costs of 14% in favor of the ultrasonic scalpel group, but it was not statistically significant. Conclusions The use of an ultrasonic scalpel was as safe as that of the conventional technique and had the advantage of a shorter operative time and lower postoperative drainage. Costs were not different between groups. © 2012 Wiley Periodicals, Inc. Head Neck, 2012