Comparison of hypocalcemia rates between LigaSure and clamp-and-tie hemostatic technique in total thyroidectomies

Feng Yu Chiang, Kang Dae Lee, Kyung Tae, Ralph P. Tufano, Che Wei Wu, I. Cheng Lu, Pi Ying Chang, Yi Chu Lin, Tzu Yen Huang

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Postoperative hypocalcemia (PH) is a serious complication after total thyroidectomy. This study aimed to compare PH rates between LigaSure Small Jaw (LSJ) and clamp-and-tie hemostatic technique in patients undergoing total thyroidectomy. Methods: Four hundred twenty patients were divided into two groups: group L (210 patients) performed with LSJ and group C (210 patients) with clamp-and-tie technique. Serum ionized calcium (iCa) was measured before and 12, 24, 48, 72 hours after surgery. PH was defined as iCa lower than 4.2 mg/dL in at least two measurements. Results: There was no significant difference between groups in sex, age, extent of surgery, pathology, and the strategy of intraoperative management of parathyroid glands (PG). The PH rate was significantly lower in group L compared to group C (22.9% vs 32.4%, P =.03). Conclusions: Compared to clamp-and-tie technique, LigaSure is superior to decrease PH rate after total thyroidectomy.

Original languageEnglish (US)
Pages (from-to)3677-3683
Number of pages7
JournalHead and Neck
Volume41
Issue number10
DOIs
StatePublished - Oct 1 2019

Keywords

  • LigaSure
  • clamp-and-tie
  • hypocalcemia
  • parathyroid preservation
  • thyroid surgery

ASJC Scopus subject areas

  • Otorhinolaryngology

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