Title: comparative study of focus harmonic scalpel and electrosurgical knife in thyroid benign tumor surgery.Authors: xiang deyu, qin zhanglu, zhou xingjian, hu kan, guo chaoyang.Citation: journal of gannan medical college (aug-2017); 37 (4).Doi: 10.3969/j.Issn.1001-5779.2017.04.008.The aim of this retrospective study is to compare the effect of harmonic focus scalpel and electrosurgical knife in benign thyroid tumor surgery.A total of 317 patients who received thyroid surgery from july 2009 to march 2014 were included.Among these, 156 patients [31 males and 125 females; mean age of 50.4 ± 18.03 year (25-70)] received harmonic focus scalpel and 161 patients [33 males and 128 females; mean age of 51.2 ± 13.82 years (25-70)] received traditional electrosurgical knife.Reported complications include postoperative temporary hoarseness (n=8), permanent recurrent laryngeal nerve injury (n=?), thyroid fossa hemorrhage (n=2) requiring surgical exploration and ligation, and all layers of incision were sutured again, and temporary and permanent hypoparathyroidism (n=?).In conclusion, compared with electrotome, harmonic focus scalpel in benign thyroid tumor surgery can shorten surgical incision, significantly shorten surgical duration, reduce the number of midline nodes during thyroidectomy and reduce intraoperative blood loss.However, the postoperative drainage volume was more in harmonic focus scalpel group.There was no significant difference in the incidence rate of postoperative complications, extubation time and postoperative hospital stay between the two groups.
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