Efficacy of LigaSure® Use during Total Thyroidectomy for Multinodular Goitre: A Prospective Randomized Study

Background: Thyroid surgery commonly carried out by surgeons is generally achieved by threadtying technique which lengthens the operation period. Therefore, new technologies are needed to decrease the operation time without increasing complications. LigaSure® PreciseTM is a new vascular sealing system with an integrated active feedback control. The aims of the present study are to assess the efficacy of LigaSure® in total thyroidectomy and compare the clinical outcomes with traditional technique. Methods: This prospective randomised study included a total number of 80 patients, underwent a total thyroidectomy for multinodular goitre. The patients were operated either with LigaSure® (Group L; n=40) or conventional technique (Group C; n=40). These were assessed and compared within the groups: demographics, peroperative (length of incision, amount of bleeding, operative period, necessity of drain use) and postoperative (calcium levels, pain, drainage volume, complications) data. Results: Length of incision (7.7±1.9 vs. 6.7±1.5 cm in Group C vs. Group L; p< 0.05) and operation time (92.2±26.4 vs. 79.1±30.9 minutes in Group C vs. Group L; p< 0.05) were significantly shorter in Group L. Other parameters were similar within the groups. Conclusion: LigaSure® may shorten the operation time and the length of the incision during total thyroidectomy for multinodular goitre.