Thyroidectomy with LigaSure.

Abstract:

PURPOSE:A new method for ensuring hemostasis during thyroid surgery has recently been introduced. This technique, electrothermal (LigaSure) and ultrasound blood vessel sealing, is still experimental. The aim of the present study was to evaluate the applications and efficacy of LigaSure by analyzing the duration of the surgery and the rate of complications of the surgical procedure. METHODS:A total of 23 patients who underwent the LigaSure operation (n(LS) group) were analyzed in a prospective nonrandomized/partly randomized clinical study, and were compared with patients who underwent treatment using the conventional (ligature) surgical technique. RESULTS:At our institutions, 187 patients were treated surgically for thyroid disease in 2006, and 23 of these patients were treated using LigaSure. The complication rate in the patients treated with LigaSure (n(LS): 4.3%) was lower than those who received conventional ligature surgery. However, given the small number of patients, this difference was not statistically significant (retrospective group n(1): 10.7%; nonrandomized group n(2): 9.8%; and randomized group n(3): 9.1%). The length of surgery in the LigaSure group (n(LS) = 65 ± 3 min) was significantly shorter (P < 0.001) compared with both nonrandomized (n(2) = 71 ± 6 min) and randomized (n(3) = 70 ± 4 min) patients who received a conventional ligature. CONCLUSIONS:The application of LigaSure using meticulous surgical technique provides a new option for a safe thyroidectomy. Moreover, the duration of the LigaSure procedure is significantly shorter, and there are fewer complications as compared with the classic surgical thyroidectomy technique.

journal_name

Surg Today

journal_title

Surgery today

authors

Ignjatović M,Kostić Z

doi

10.1007/s00595-010-4364-3

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

767-73

issue

6

eissn

0941-1291

issn

1436-2813

journal_volume

41

pub_type

临床试验,杂志文章,随机对照试验
  • Occurrence of intraperitoneal septic complications after hepatic resections between 1985 and 1990.

    abstract::In this study, the risk factors related to intraperitoneal septic complications occurring after hepatectomy (IPSCH) as well as the effect of various perioperative variables on the outcome of IPSCH between 1985 and 1990 were analyzed. Twenty-one of 211 patients (10.0%) developed IPSCH. The findings in the patients with...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00309385

    authors: Matsumata T,Yanaga K,Shimada M,Shirabe K,Taketomi A,Sugimachi K

    更新日期:1995-01-01 00:00:00

  • Clinicopathological characteristics and long-term outcomes of colorectal cancer in elderly Chinese patients undergoing potentially curative surgery.

    abstract:PURPOSE:The aim of this study was to determine the clinicopathological characteristics and outcomes of Chinese colorectal cancer (CRC) patients aged 75 years and older undergoing potentially curative surgery. METHODS:A total of 2,482 CRC patients at TNM stage I-III undergoing surgical treatment between 1995 and 2005 w...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-013-0507-7

    authors: Yang Z,Chen H,Liao Y,Xiang J,Kang L,Wang L,Cui J,Cai G,Peng J,Lan P,Wang J

    更新日期:2014-01-01 00:00:00

  • Spontaneous regression of lung adenocarcinoma: Report of a case.

    abstract::This report presents a rare case of lung adenocarcinoma accompanied by partial spontaneous regression (SR). A 69-year-old woman with an abnormal shadow on chest X-ray was admitted to the hospital. She was diagnosed to have lung adenocarcinoma with right adrenal metastasis based on a thorough examination. However, a mo...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4195-2

    authors: Haruki T,Nakamura H,Taniguchi Y,Miwa K,Adachi Y,Fujioka S,Shomori K,Ito H

    更新日期:2010-12-01 00:00:00

  • The tumor doubling time is a useful parameter for predicting the histological type of thymic epithelial tumors.

    abstract:PURPOSE:We assessed the utility of the tumor doubling time (TDT) for predicting the histological type of thymic epithelial tumors. METHODS:We retrospectively reviewed 130 patients with thymic epithelial tumors who underwent computed tomography two or more times before surgery. The patients were divided into low-risk t...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-01822-9

    authors: Fukumoto K,Fukui T,Kawaguchi K,Nakamura S,Hakiri S,Ozeki N,Mori S,Goto M,Hashimoto K,Tateyama H,Yokoi K

    更新日期:2019-08-01 00:00:00

  • Nesidioblastosis with hyperinsulinemic hypoglycemia in adults: report of two cases.

    abstract::We report herein the cases of two women, aged 34 years and 39 years, respectively, found to have hyperinsulinemic hypoglycemia after presenting with a history of episodes of temporary loss of consciousness, nausea, and fainting. Under the suspected diagnosis of insulinoma, localization procedures were carried out, but...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02483064

    authors: Eriguchi N,Aoyagi S,Hara M,Tanaka E,Hashimoto M,Jimi A

    更新日期:1999-01-01 00:00:00

  • Transanal total mesorectal excision for rectal cancer.

    abstract::Although laparoscopic surgery for rectal cancer has been gaining acceptance with the gradual accumulation of evidence, it remains a technically demanding procedure in patients with a narrow pelvis, bulky tumors, or obesity. To overcome the technical difficulties associated with laparoscopic rectal dissection and trans...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-015-1195-2

    authors: Hasegawa S,Takahashi R,Hida K,Kawada K,Sakai Y

    更新日期:2016-06-01 00:00:00

  • Colonic tattooing using fluorescence imaging with light-emitting diode-activated indocyanine green: a feasibility study.

    abstract:PURPOSE:We investigated the feasibility of a fluorescence imaging technique using light-emitting diode (LED)-activated indocyanine green (ICG) fluorescence. METHODS:Indocyanine green injections were given to patients undergoing preoperative colonoscopy for early colon cancer or colon adenoma. During subsequent laparot...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-008-3849-9

    authors: Watanabe M,Tsunoda A,Narita K,Kusano M,Miwa M

    更新日期:2009-01-01 00:00:00

  • Cellular localization of tumor necrosis factor-alpha mRNA and interleukin-6 mRNA in the rat liver after hemorrhagic shock.

    abstract:PURPOSE:Our previous studies showed that tumor necrosis factor (TNF)-alpha and interleukin (IL)-6 are induced after hemorrhagic shock and that their induction is attenuated by hyperbaric oxygen treatment. In this study, we tried to identify the cell types in the liver that are responsible for the increase in TNF-alpha ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950200130

    authors: Yamashita M,Taniyama M,Tamai M

    更新日期:2002-01-01 00:00:00

  • Malposition of a totally implantable venous access catheter in the azygous vein: report of a case.

    abstract::We report herein the case of a 2-year-old girl with short bowel syndrome who developed chest pain 2 weeks after a totally implantable central venous access catheter had been surgically placed to facilitate total parenteral nutrition. A lateral chest X-ray and contrast flow study subsequently revealed that the catheter...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311442

    authors: Ikeda S,Sera Y,Yamamoto H,Terakura H,Yoshida M,Uchino S,Oka Y,Akizuki M

    更新日期:1995-01-01 00:00:00

  • A comparison of the results of prospective and retrospective cohort studies in the field of digestive surgery.

    abstract:PURPOSE:We compared the results of prospective and retrospective cohort studies in the field of digestive surgery to clarify whether the results of prospective cohort studies were more similar to those of randomized controlled trials (RCTs). METHODS:We conducted a secondary analysis of the results to compare the resul...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-017-1479-9

    authors: Ukai T,Shikata S,Nakayama T,Takemura YC

    更新日期:2017-07-01 00:00:00

  • Effectiveness of scheduled intravenous acetaminophen in the postoperative pain management of video-assisted thoracic surgery.

    abstract:PURPOSE:The scheduled administration of intravenous acetaminophen (scheduled-IV-AcA) is one of the more effective multimodal analgesic approaches for postoperative pain in abdominal/orthopedic surgeries. However, there is little evidence concerning scheduled-IV-AcA after general thoracic surgery, especially when limite...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-020-02127-y

    authors: Shikatani Y,Soh J,Shien K,Kurosaki T,Ohtani S,Yamamoto H,Taniguchi A,Okazaki M,Sugimoto S,Yamane M,Oto T,Morimatsu H,Toyooka S

    更新日期:2020-09-02 00:00:00

  • Mucormycosis resulting in gastric perforation in a patient with acute myelogenous leukemia: report of a case.

    abstract::Mucormycosis is an uncommon opportunistic fungal infection that may develop in immunocompromised patients with conditions such as diabetes mellitus, leukemia, lymphoma, or human immunodeficiency virus (HIV), or after transplantation with immunosupperessive therapy. We report a case of gastric perforation caused by a m...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-006-3246-1

    authors: Song KY,Kang WK,Park CW,Choi YJ,Rha SE,Park CH

    更新日期:2006-01-01 00:00:00

  • Synchronous multiple thymoma: report of three cases.

    abstract::We report three cases of synchronous multiple thymoma diagnosed at a single hospital during the 10 years since 1999. Two were accompanied by myasthenia gravis (MG). In two patients, two thymomas were detected by preoperative computed tomography (CT), and in one, a microthymoma was found incidentally on pathologic exam...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4080-z

    authors: Suzuki H,Yoshida S,Hiroshima K,Nakatani Y,Yoshino I

    更新日期:2010-05-01 00:00:00

  • Enhanced hepatic portal blood flow induced by prostaglandin E1 following liver transplantation in pigs.

    abstract::Portal venous blood flow (PVF), hepatic arterial blood flow (HAF), and systemic arterial pressure (SAP) were examined after prostaglandin E1 (PGE1) was injected into the vena cava superior (VCS) of liver-transplanted pigs. The injection of PGE1 at 0.2 micrograms/kg/min for 2 min on the day of transplantation and 3 day...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01833727

    authors: Tsukada K,Sakaguchi T,Tomiyama T,Uchida K,Sato Y,Tsubono T,Ohtake M,Koyama S,Aono T,Hatakeyama K

    更新日期:1994-01-01 00:00:00

  • Clinical application of ghrelin in the field of surgery.

    abstract::Ghrelin was discovered as an intrinsic ligand for the growth hormone (GH)-secretagogue receptor (GHS-R) in 1999. The endogenous production of ghrelin occurs mainly in the stomach. Ghrelin has multiple functions; it has orexigenic action, stimulates GH secretion, has anti-inflammatory activities, stimulates gastrointes...

    journal_title:Surgery today

    pub_type: 杂志文章,评审

    doi:10.1007/s00595-014-1040-z

    authors: Takiguchi S,Murakami K,Yanagimoto Y,Takata A,Miyazaki Y,Mori M,Doki Y

    更新日期:2015-07-01 00:00:00

  • Use of the sandwich method with an ultra-high-molecular-weight polyethylene prosthesis and Marlex mesh in sternal reconstruction: report of a case.

    abstract::A 52-year-old Japanese man with a slow-growing chondroma originating from the sternal bone was referred to our hospital. A subtotal resection of the sternum was performed, hereafter termed the "sandwich method," and an originally designed prosthesis made from ultra-high-molecular-weight polyethylene and Marlex mesh wa...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF02215817

    authors: Iwabuchi S,Handa M,Usuda K,Sato M,Kondo T,Tanita T,Fujimura S

    更新日期:1994-01-01 00:00:00

  • Embolization of the replaced common hepatic artery before surgery for pancreatic head cancer: report of a case.

    abstract::We report the case of a patient with pancreatic head cancer, whose replaced common hepatic artery (RCHA) arose from the superior mesenteric artery (SMA). We performed preoperative embolization of the RCHA, after which the liver blood flow was well maintained by the left gastric artery. The patient underwent a radical ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-004-2785-6

    authors: Miyamoto N,Kodama Y,Endo H,Shimizu T,Miyasaka K,Tanaka E,Anbo Y,Hirano S,Kondo S,Katoh H

    更新日期:2004-01-01 00:00:00

  • Quadruple cancer including Bowen's disease after arsenic injections 40 years earlier: report of a case.

    abstract::This report describes the successful treatment of quadruple cancer including Bowen's disease in a 71-year-old man who had been given injections of salvarsan, an arsenic compound, for syphilis more than 40 years earlier. Resection of a skin lesion on his chest subsequently confirmed a diagnosis of Bowen's disease, 3 ye...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF01367469

    authors: Murata K,Iwazawa T,Takayama T,Yamashita K,Okagawa K

    更新日期:1994-01-01 00:00:00

  • Protective effect of a lipoxygenase inhibitor, nordihydroguaretic acid, on the ileal motor disturbances induced by Serratia marcescens endotoxin in rats.

    abstract::This study was conducted to examine the effects of peptidoleukotrienes on the ileal contractility disturbances induced by Serratia marcescens endotoxin in rats. Thirty-two male Wistar rats were divided into four groups (n = 8 each). The first group was given only an anesthetic agent (control group); the second group w...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170108

    authors: Ezberci F,Tekin E,Onuk E

    更新日期:2001-01-01 00:00:00

  • Usefulness of the neutrophil/lymphocyte ratio measured preoperatively as a predictor of peritoneal metastasis in patients with advanced gastric cancer.

    abstract:PURPOSE:The prognosis for gastric cancer patients with peritoneal metastasis is poor. Many studies have reported that the neutrophil/lymphocyte ratio (NLR) might be useful to predict the degree of progression of gastric cancer. In this study, we attempted to evaluate whether the NLR and other related laboratory paramet...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-014-0917-1

    authors: Nakayama Y,Gotohda N,Shibasaki H,Nomura S,Kinoshita T,Hayashi R

    更新日期:2014-11-01 00:00:00

  • Spinal cord injury following aortic arch replacement.

    abstract:PURPOSE:Postoperative spinal cord injury is a devastating complication after aortic arch replacement. The purpose of this study was to determine the predictors of this complication. METHODS:A group of 254 consecutive patients undergoing aortic arch replacement via median sternotomy, with (n = 78) or without (n = 176) ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-019-01853-2

    authors: Tokuda Y,Fujimoto K,Narita Y,Mutsuga M,Terazawa S,Ito H,Matsumura Y,Uchida W,Munakata H,Ashida S,Ono T,Nishi T,Yano D,Ishida S,Kuwabara F,Akita T,Usui A

    更新日期:2020-02-01 00:00:00

  • Diaphragmatic hernia with ischemic bowel obstruction in pregnancy: report of a case.

    abstract::Diaphragmatic hernia complicating pregnancy is rare and is associated with high morbidity and mortality, particularly if surgical intervention is delayed. We report a case of diaphragmatic hernia in a pregnant 25-year-old woman. The patient was referred to our hospital in respiratory distress in the 28th week of her p...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3718-y

    authors: Sano A,Kato H,Hamatani H,Sakai M,Tanaka N,Inose T,Kimura H,Kuwano H

    更新日期:2008-01-01 00:00:00

  • Successful treatment of intraoperative heart failure caused by ampulla cardiomyopathy by intra-aortic balloon pumping and percutaneous cardiopulmonary support: report of a case.

    abstract::An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-onset rever...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-005-3009-4

    authors: Yabuuchi S,Miura K,Shiiba K,Shibata C,Ishii S,Mizoi T,Ejima Y,Horinouchi T,Iwabuchi K,Oda K,Unno M,Morita R,Nagaya K,Nitta Y,Matsuno S,Sasaki I

    更新日期:2005-01-01 00:00:00

  • Correction to: Recent progress in multidisciplinary treatment for patients with esophageal cancer.

    abstract::The article Recent progress in multidisciplinary treatment for patients with esophageal cancer, written by Masayuki Watanabe, Reiko Otake, Ryotaro Kozuki, Tasuku Toihata, Keita Takahashi, Akihiko Okamura, Yu Imamura, was originally published Online First without Open Access. ...

    journal_title:Surgery today

    pub_type: 已发布勘误

    doi:10.1007/s00595-019-01952-0

    authors: Watanabe M,Otake R,Kozuki R,Toihata T,Takahashi K,Okamura A,Imamura Y

    更新日期:2020-04-01 00:00:00

  • Repeated colon penetration by an ingested fish bone: report of a case.

    abstract::A 78-year-old man was admitted to Kumamoto Rosai Hospital with right lower abdominal pain. Abdominal computed tomography (CT) showed penetration of the cecum by a foreign body, which looked like a fish bone, as well as thickening of the right lower abdominal wall. We made an initial diagnosis of penetration of the col...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-007-3629-y

    authors: Okuma T,Nagamoto N,Tanaka E,Yoshida Y,Inoue K,Baba H

    更新日期:2008-01-01 00:00:00

  • Leiomyoma of the lesser omentum: report of a case.

    abstract::The case of a 67-year-old Japanese woman with leiomyoma arising from the lesser omentum is reported herein. Although the patient had no abdominal symptoms, findings of a routine abdominal ultrasound examination suggested a mass between the stomach and the lateral segment of the liver. Subsequent magnetic resonance ima...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00311991

    authors: Ikematsu Y,Usui K,Kamohara Y,Inoue K,Maeda J,Amano M,Horita Y

    更新日期:1996-01-01 00:00:00

  • The coagulofibrinolytic state of patients with primary varicose veins of the lower legs.

    abstract::The relationship between a local hypercoagulable state and primary varicose veins of the lower legs was investigated by measuring the plasma levels of D-dimer (DD) and the thrombin-antithrombin-III complex (TAT) in 122 consecutive patients before treatment, and in 46 patients after surgical intervention and compressio...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/BF00309958

    authors: Ikeda M,Kambayashi J,Iwamoto S,Shinoki N,Nakamura T,Shibuya T,Kawasaki T,Monden M

    更新日期:1996-01-01 00:00:00

  • Spontaneous hemorrhage of a thymic cyst in an adult: report of a case.

    abstract::Mediastinal cysts account for about 19% of all mediastinal masses, and thymic cysts represent only about 1.5% of anterior mediastinal masses. Thymic cysts do not usually cause symptoms and are often found incidentally on routine chest radiography. We report the case of a thymic cyst that hemorrhaged into the mediastin...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-009-4136-0

    authors: Saito Y,Murai K,Kawai Y,Takahashi N,Ikeya T,Hoshi E,Kawabata Y

    更新日期:2010-10-01 00:00:00

  • Are volume-dependent parameters in positron emission tomography predictive of postoperative recurrence after resection in patients with thymic carcinoma?

    abstract::This study aimed to investigate the association between the volume-dependent parameters in 18F-fluorodeoxyglucose-positron emission tomography (18F-FDG PET/CT) and a recurrence of thymic carcinoma. A retrospective chart review was performed based on our multi-institutional database to identify patients undergoing PET ...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s00595-020-02045-z

    authors: Hamaji M,Koyasu S,Omasa M,Nakakura A,Morita S,Nakagawa T,Miyahara S,Miyata R,Yokoyama Y,Kawakami K,Suga M,Takahashi M,Terada Y,Muranishi Y,Miyahara R,Sumitomo R,Huang CL,Aoyama A,Takahashi Y,Date H

    更新日期:2021-02-01 00:00:00

  • A reoperation for anomalous origin of right pulmonary artery: report of a case.

    abstract::A reoperation to upsize the conduit placed at infancy for the repair of an anomalous origin of the right pulmonary artery (AORPA) was successfully performed in an 8-year-old girl because of an elevated right ventricular pressure and a reduced right pulmonary blood flow. Although primary direct anastomosis is essential...

    journal_title:Surgery today

    pub_type: 杂志文章

    doi:10.1007/s005950170099

    authors: Sugimoto S,Kikuchi S,Oosawa H,Hachiro Y,Takagi N,Abe T

    更新日期:2001-01-01 00:00:00