tailieunhanh - Báo cáo khoa học: "Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie | Cirocchi et al. World Journal of Surgical Oncology 2010 8 112 http content 8 1 112 5 2 WORLD JOURNAL OF SURGICAL ONCOLOGY REVIEW Open Access Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie 1 2 1 2 I-X 3 3 Roberto Cirocchi Fabio DAjello Stefano Trastulli Alberto Santoro Giorgio Di Rocco Domenico Vendettuoli PsỉHir 1 Hq 11 i1 Drim Cifi iCj2r ir ir ii f i3 A locc nH Qtỉ nm linoi i i2 I iliofio i l ifiCil I i4 AHri nrn PoHlor3 Antonin peer ll 5 Fabio Rondelli Domenico Giannoni Alessandro sanguineni Liliana Minelli Adriano Redlei Antonio Dasoli Nicola Avenia2 Abstract Background We conducted a systematic review to evaluate the role of Ultrasonic dissector UAS versus conventional clamp and tie in thyroidectomy. Materials and methods We searched for all published RCT in into electronic databases. To be included in the analysis the studies had to compare thyroidectomy with UAS versus conventional vessel ligation and tight conventional technique CT . The following outcomes were used to compare the total thyroidectomy group with UAS versus CT group operative duration operative blood loss overall drainage volume during the first 24 hours transiet laryngeal nerve palsy permanent laryngeal nerve palsy transiet hypocalcaemia and permanent hypocalcaemia. Results There are currently 7 RCT on this issue to compare thyroidectomy with UAS versus CT. From the analysis of these studies it was possible to confront 608 cases 303 undergoing to thyroidectomy with UAS versus 305 that were treated with CT. Actually it was shown a relevant advantage of cost-effectiveness in patients treated with UAS there is a statistically significant reduction of the operative duration weighted mean difference WMD minutes 95 confidence interval CI to minutes P intraoperative blood loss WMD mL 95 CI to mL P and overall drainage volume WMD mL 95 CI to mL P in the patients .