A Prospective, Randomized Study between the Small Jaw^® and the Harmonic Focus^® in Open Thyroidectomy

Abstract

Open thyroidectomy for PTC using the HF or the LSJ was safe and effective and was not associated with any increase in complications. Surgical outcomes and operative morbidity were equivalent between the 2 groups.

National Trends and Factors Associated with Hospital Costs Following Thyroid Surgery

“…The number of patients admitted following total thyroidectomy or thyroid lobectomy increased by 13 Fig. 1).…”

“…From 1996 to 2006, hospital charges from inpatient thyroidectomy for thyroid cancer have tripled on an aggregate basis and more than doubled per capita (5,8,13,14). The increasing use of novel surgical instruments, the rising incidence of welldifferentiated thyroid cancer, changing inpatient characteristics, and complication rates have been shown to have a significant financial impact on thyroid surgery (3,(8)(9)(10)(11).…”

A meta-analysis comparing the outcomes of LigaSure Small Jaw versus clamp-and-tie technique or Harmonic Focus Scalpel in thyroidectomy

“…2). [12,14] Moreover, funnel plot of operative time in all studies showed no obvious evidence of publication bias (Fig. 3).…”

“…[10–16] Among them, 5 studies (386 patients) compared LS Small Jaw and clamp-and-tie, [10,11,13,15,16] and the residual 2 studies (427 patients) compared LS Small Jaw and Harmonic Focus Scalpel for thyroidectomy. [12,14] The baseline characteristics of all studies are listed in Table 1.…”

“…It is not hard to randomly allocate thyroidectomy into LS Small Jaw or other instruments. So the included 4 of total 7 researches were prospective randomized studies, [10,11,13,14] and another 3 studies were 2 retrospective controlled studies [15,16] and 1 prospective nonrandomized study. [12] As for qualitative assessment, Table 2 showed the evaluation of each study followed by The Cochrane Collaboration's risk of bias tool and modified NOS.…”