Abstract
Abstract. The issues of improving surgical techniques in thyroid surgery to reduce the number of complications, surgery time and cosmetic defects remain relevant today. The use of a fundamentally new ligature-free technique of thyroidectomy using the domestic device EKVZ-300 («Patonmed», Ukraine) is promising. The aim. Determination of the effectiveness of using a ligature-free technique in thyroid surgery. Material and methods. We analyzed 565 patients with thyroidectomy (without dissection of the neck lymph nodes) performed between November 2022 and February 2024, and with a thyroid volume up to 100 cm3. Of these surgical interventions, 156 were performed using the developed ligature-free technique and 409 using the classical one, i.e. without the use of ligature-free technology. In the group with the ligature-free technique, the age of the patients was 8-74 years (48.34±14.65 years), of which there were 129 (82.7%) women, in the group with the classical method, the age of the patients was 13-76 years (51.15±13.11 years), there were 353 women (86.3%). The surgery time, postoperative level of ionized calcium, and the presence of patient complaints of voice changes the next day after surgery were compared. The results. The average time for performing thyroidectomy using the ligature-free method was 53.87±0.96, while in the group of operations using the classical method it was 61.61± ±0.77 (p<0.001). The average postoperative level of ionized calcium in the group using the ligature-free technique was 1.12±0.01 mmol/L, while this indicator was 1.07±0.004 mmol/L (p<0.001) in operations according to the classical technique. A comparison of the presence of any patient complaints about changes in voice function the next day after surgery revealed a statistically significant difference in the groups using the χ2 method (p<0.001). The absence of any complaints when using the ligature-free technique was observed in 62.61%, while when using the classic technique, such patients were 37.39%. Conclusion: The use of the developed ligature-free surgery technique allows to reduce the surgery time, decrease the drop in the level of ionized calcium and patients’ complaints about any changes in voice after surgery.
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