Comparison of the Outcome of Clamp-and-Tie with Ligasure Technique in Total Thyroidectomy

Abstract

Objective: To compare the outcome of clamp-and-tie with Ligasure technique in total thyroidectomy patients. Material and Methods: A total 60 (30 in each group) patients undergoing near total thyroidectomy for benign goiter were included in this study. After taking informed consent, demographic data (age, gender, duration of goitre, place of living and BMI) were noted. All selected cases were be divided into group A & B by lottery method. In group A patients total thyroidectomy was done by using ligasure while in group B patients, near total thyroidectomy was done by clamp-and-tie technique. Operation time and intra-operative blood loss were measured for each patient. Results: Mean age of patients was 45.60±12.1 years included in this study. Mean disease duration was 7.8±4.5 months. Mean BMI was 24.80±3.61 kg/m2. There were 43 (71.67%) females and 17 (28.33%) male patients. There were 13 (21.67%) patients were from rural area and 47 (78.33%) were from urban area. Mean operative time in group A was 61.33±5.98 hours versus 75.06±6.61 hours in group B (p-value <0.001). Mean intra-operative blood loss was 53.40±6.11 ml in group A versus 81.47±9.29 ml in group B (p-value <0.001). Conclusion: Thyroid surgery with Ligasure resulted in dramatically reduced mean operational time and postoperative blood loss compared to traditional approach. Keywords: clamp-and-tie technique, Ligasure, total thyroidectomy.