The American Journal of Surgery
Volume 199, Issue 6 , Pages 736-740 , June 2010

Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study

  • Paolo Miccoli, M.D.

      Affiliations

    • Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy
    • ,
  • Gabriele Materazzi, M.D.

      Affiliations

    • Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy
    • Corresponding Author InformationCorresponding author. Tel.: +00 39 05 0992400; fax: +00 39 05 0551369
    • ,
  • Mario Miccoli, Ph.D.

      Affiliations

    • Department of Experimental Pathology, University of Pisa, Pisa, Italy
    • ,
  • Gianluca Frustaci, M.D.

      Affiliations

    • Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy
    • ,
  • Alessandra Fosso, M.D.

      Affiliations

    • Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy
    • ,
  • Piero Berti, M.D.

      Affiliations

    • Department of Surgery, University of Pisa, Via, Rome 67 56100, Pisa, Italy

Received 24 January 2009 ,Revised 5 April 2009

References 

  1. Rosato L, Avenia N, Bernante P, et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J Surg. 2004;28:271–276
  2. Amaral JF. The experimental development of an ultrasonically activated scalpel for laparoscopic use. Surg Laparosc Endosc. 1994;4:92–99
  3. Laycock WS, Trus TL, Hunter JG. New technology for the division of short gastric vessels during laparoscopic Nissen's fundoplication: a prospective randomized trial. Surg Endosc. 1996;10:71–73
  4. Takao S, Shinchi H, Maemura K, et al. Ultrasonically activated scalpel is an effective tool for cutting the pancreas in biliary-pancreatic surgery: experimental and clinical studies. J Hepato Biliary Pancreat Surg. 2000;7:58–62
  5. Gertsch P, Pelloni A, Guerra A, et al. Initial experience with the Harmonic scalpel in liver surgery. Hepatogastroenterology. 2000;47:763–766
  6. Kang SK, Kunanandam T, Clark L. Prospective, case-control study of surgical efficiency of ultrasonic shear (“Harmonic scalpel”) thyroidectomy compared with conventional thyroidectomy. J Laryngol Otol. 2008;19:1–3
  7. Cordón C, Fajardo R, Ramírez J, et al. A randomized, prospective, parallel group study comparing the Harmonic scalpel to electrocautery in thyroidectomy. Surgery. 2005;137:337–341
  8. Kilic M, Keskek M, Ertan T, et al. A prospective randomized trial comparing the Harmonic scalpel with conventional knot tying in thyroidectomy. Advances Ther. 2007;24:632–638
  9. Manouras A, Markogiannakis H, Koutras AS, et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, Harmonic scalpel, and classic suture ligation. Am J Surg. 2008;195:48–52
  10. Ortega J, Sala C, Flor B, et al. Efficacy and cost-effectiveness of the UltraCision Harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial. J Laparoendosc Adv Surg Tech A. 2004;14:9–12
  11. Hallgrimsson P, Lovén L, Westerdahl J, et al. Use of the Harmonic scalpel versus conventional haemostatic techniques in patients with graves disease undergoing total thyroidectomy: a prospective randomised controlled trial. Langenbecks Arch Surg. 2008;393:675–680
  12. Manouras A, Markogiannakis HE, Kekis PB, et al. Novel hemostatic devices in thyroid surgery: electrothermal bipolar vessel sealing system and Harmonic scalpel. Expert Rev Med Devices. 2008;5:447–466
  13. Koh YW, Park JH, Lee SW, et al. The Harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study. Ann Surg. 2008;247:945–949
  14. Yildirim O, Umit T, Ebru M, et al. Ultrasonic Harmonic scalpel in total thyroidectomies. Adv Ther. 2008;25:260–265
  15. Kang SK, Kunanandam T, Clark L. Prospective, case-control study of surgical efficiency of ultrasonic shear (“Harmonic scalpel”) thyroidectomy compared with conventional thyroidectomy. J Laryngol Otol. 2008;122:1194–1196
  16. Koutsoumanis K, Koutras AS, Drimousis PG, et al. The use of a Harmonic scalpel in thyroid surgery: report of a 3-year experience. Am J Surg. 2007;193:693–696
  17. Siperstein AE, Berber E, Morkoyun E. The use of the Harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery. Arch Surg. 2002;137:137–142
  18. Miccoli P, Berti P, Dionigi G, et al. Randomized controlled trial of Harmonic scalpel use during thyroidectomy. Arch Otolaryngol Head Neck Surg. 2006;132:1069–1073
  19. Miccoli P, Berti P, Frustaci GL, et al. Video-assisted thyroidectomy: indications and results. Langenbecks Arch Surg. 2006;391:68–71
  20. Miccoli P, Materazzi G. Minimally invasive videoassisted thyroidectomy (MIVAT). Surg Clin North Am. 2004;84:735–741
  21. Ikeda Y, Takami H, Sasaki Y, et al. Comparative studies of thyroidectomies: endoscopic surgery vs conventional open surgery. Surg Endosc. 2002;16:1741–1745
  22. Defechereux T, Meurisse M. Hemostasis and ultrasonic shears for thyroid surgery. Ann Chir. 2006;131:154–156
  23. Kos M, Engelke W. Advantages of a new technique of neck dissection using an ultrasonic scalpel. J Craniomaxillofacial Surg. 2007;35:10–14

PII: S0002-9610(09)00299-2

doi: 10.1016/j.amjsurg.2009.04.003

The American Journal of Surgery
Volume 199, Issue 6 , Pages 736-740 , June 2010

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