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Review

Electrothermal bipolar vessel sealing system (LigaSure) for hemostasis during thyroid surgery: a comprehensive review

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Pages 389-410 | Published online: 09 Jan 2014

References

  • Sakorafas GH. Historical evolution of thyroid surgery: from the ancient times to the dawn of the 21st century. World J. Surg. 34(8), 1793–1804 (2010).
  • Hegner CF. A history of thyroid surgery. Ann. Surg. 95(4), 481 (1932).
  • Cushing H. I. The control of bleeding in operations for brain tumors: with the description of silver ‘clips’ for the occlusion of vessels inaccessible to the ligature. Ann. Surg. 54(1), 1–19 (1911).
  • Samuels PB, Roedling H, Katz R, Cincotti JJ. A new hemostatic clip: 2-year review of 1007 cases. Ann. Surg. 163(3), 427–431 (1966).
  • Diener MK, Seiler CM, von Frankenberg M et al.; CLIVIT Study Group. Vascular clips versus ligatures in thyroid surgery – results of a multicenter randomized controlled trial (CLIVIT Trial). Langenbecks Arch. Surg. 397(7), 1117–1126 (2012).
  • Massarweh NN, Cosgriff N, Slakey DP. Electrosurgery: history, principles, and current and future uses. J. Am. Coll. Surg. 202(3), 520–530 (2006).
  • Greenwood J Jr. Two point coagulation. A new principle and instrument for applying current in neurosurgery. Am. J. Surg. 50, 267–270 (1940).
  • Kennedy JS, Stranahan PL, Taylor KD, Chandler JG. High-burst-strength, feedback-controlled bipolar vessel sealing. Surg. Endosc. 12(6), 876–878 (1998).
  • Dubiel B, Shires PK, Korvick D, Chekan EG. Electromagnetic energy sources in surgery. Vet. Surg. 39(8), 909–924 (2010).
  • Diamantis T, Kontos M, Arvelakis A et al. Comparison of monopolar electrocoagulation, bipolar electrocoagulation, Ultracision, and LigaSure. Surg. Today 36(10), 908–913 (2006).
  • Hruby GW, Marruffo FC, Durak E et al. Evaluation of surgical energy devices for vessel sealing and peripheral energy spread in a porcine model. J. Urol. 178(6), 2689–2693 (2007).
  • Phillips CK, Hruby GW, Mirabile G et al. The effect of intraluminal content on the bursting strength of vessels ligated with the Harmonic ACE and LigaSure V. J. Endourol. 22(6), 1383–1387 (2008).
  • Dionigi G, Bacuzzi A, Boni L et al. Influence of new technologies on thyroid surgery: state of the art. Expert Rev. Med. Devices 2(5), 547–557 (2005).
  • Manouras A, Markogiannakis HE, Kekis PB, Lagoudianakis EE, Fleming B. Novel hemostatic devices in thyroid surgery: electrothermal bipolar vessel sealing system and Harmonic Scalpel. Expert Rev Med Devices 5(4), 447–466 (2008).
  • Voutilainen PE, Haapiainen RK, Haglund CH. Ultrasonically activated shears in thyroid surgery. Am. J. Surg. 175(6), 491–493 (1998).
  • Melck AL, Wiseman SM. Harmonic Scalpel compared to conventional hemostasis in thyroid surgery: a meta-analysis of randomized clinical trials. Int. J. Surg. Oncol. 2010, 396079 (2010).
  • Janssen PF, Brölmann HA, Huirne JA. Causes and prevention of laparoscopic ureter injuries: an analysis of 31 cases during laparoscopic hysterectomy in the Netherlands. Surg. Endosc. 27(3), 946–956 (2013).
  • Macario A, Dexter F, Sypal J, Cosgriff N, Heniford BT. Operative time and other outcomes of the electrothermal bipolar vessel sealing system (LigaSure) versus other methods for surgical hemostasis: a meta-analysis. Surg. Innov. 15(4), 284–291 (2008).
  • Frew JW. Performing surgery with a single electron: electrosurgery and quantum mechanics. ANZ J. Surg. 79(10), 680–682 (2009).
  • Vällfors B, Bergdahl B. Automatically controlled bipolar electrocoagulation – ‘COA-COMP’. Neurosurg. Rev. 7(2–3), 187–189 (1984).
  • Bergdahl B, Vällfors B. Studies on coagulation and the development of an automatic computerized bipolar coagulator. Technical note. J. Neurosurg. 75(1), 148–151 (1991).
  • Newcomb WL, Hope WW, Schmelzer TM et al. Comparison of blood vessel sealing among new electrosurgical and ultrasonic devices. Surg. Endosc. 23(1), 90–96 (2009).
  • Katsuno G, Nagakari K, Fukunaga M. Comparison of two different energy-based vascular sealing systems for the hemostasis of various types of arteries: a porcine model-evaluation of LigaSure ForceTriad™. J. Laparoendosc. Adv. Surg. Tech. A 20(9), 747–751 (2010).
  • Dionigi G, Boni L, Rovera F, Dionigi R. The use of electrothermal bipolar vessel sealing system in minimally invasive video-assisted thyroidectomy (MIVAT). Surg. Laparosc. Endosc. Percutan. Tech. 18(5), 493–497 (2008).
  • Dionigi G, Boni L, Rausei S et al. The safety of energy-based devices in open thyroidectomy: a prospective, randomised study comparing the LigaSure™ (LF1212) and the Harmonic® FOCUS. Langenbecks Arch. Surg. 397(5), 817–823 (2012).
  • Carbonell AM, Joels CS, Kercher KW, Matthews BD, Sing RF, Heniford BT. A comparison of laparoscopic bipolar vessel sealing devices in the hemostasis of small-, medium-, and large-sized arteries. J. Laparoendosc. Adv. Surg. Tech. A 13(6), 377–380 (2003).
  • Ergul E, Ucar AE, Yalcin S, Kusdemir A. The PlasmaKinetic tissue management system in thyroid surgery. Bratisl. Lek. Listy 110(1), 49–53 (2009).
  • Richter S, Kollmar O, Neunhoeffer E, Schilling MK, Menger MD, Pistorius G. Differential response of arteries and veins to bipolar vessel sealing: evaluation of a novel reusable device. J. Laparoendosc. Adv. Surg. Tech. A 16(2), 149–155 (2006).
  • Person B, Vivas DA, Ruiz D, Talcott M, Coad JE, Wexner SD. Comparison of four energy-based vascular sealing and cutting instruments: a porcine model. Surg. Endosc. 22(2), 534–538 (2008).
  • Schuld J, Sperling J, Kollmar O et al. The Nightknife©: evaluation of efficiency and quality of bipolar vessel sealing. J. Laparoendosc. Adv. Surg. Tech. A 21(7), 659–663 (2011).
  • Klar M, Haberstroh J, Timme S, Fritzsch G, Gitsch G, Denschlag D. Comparison of a reusable with a disposable vessel-sealing device in a sheep model: efficacy and costs. Fertil. Steril. 95(2), 795–798 (2011).
  • Milsom J, Trencheva K, Monette S, Pavoor R. Safety, efficacy, and versatility of a new surgical energy device (Thunderbeat) in comparison with Harmonic ACE, LigaSure V, and EnSeal devices in a porcine model. J. Laparoendosc. Adv. Surg. Tech. A 22(4), 378–386 (2012).
  • Kowalski BW, Bierca J, Zmora J, Kolodziejczak M, Kosim A, Fraczek M. Usefulness of electrosurgical techniques in thyroid gland surgery. Pol. Przegl. Chir. 84(5), 225–229 (2012).
  • Wallwiener C, Wallwiener M, Neunhoeffer E, Menger M, Isaacson K, Zubke W. Intelligent, impedance-regulated, pulsed coagulation in a porcine renal artery model. Fertil. Steril. 88(1), 206–211 (2007).
  • Oussoultzoglou E, Panaro F, Rosso E et al. Use of BiClamp decreased the severity of hypocalcemia after total thyroidectomy compared with LigaSure: a prospective study. World J. Surg. 32(9), 1968–1973 (2008).
  • Alesina PF, Rolfs T, Walz MK. Bipolar thermofusion vessel sealing system (TVS) versus conventional vessel ligation (CVL) in thyroid surgery – results of a prospective study. Langenbecks Arch. Surg. 395(2), 115–119 (2010).
  • Landman J, Kerbl K, Rehman J et al. Evaluation of a vessel sealing system, bipolar electrosurgery, Harmonic Scalpel, titanium clips, endoscopic gastrointestinal anastomosis vascular staples and sutures for arterial and venous ligation in a porcine model. J. Urol. 169(2), 697–700 (2003).
  • Harold KL, Pollinger H, Matthews BD, Kercher KW, Sing RF, Heniford BT. Comparison of ultrasonic energy, bipolar thermal energy, and vascular clips for the hemostasis of small-, medium-, and large-sized arteries. Surg. Endosc. 17(8), 1228–1230 (2003).
  • Rajbabu K, Barber NJ, Choi W, Muir GH. To knot or not to knot? Sutureless haemostasis compared to the surgeon’s knot. Ann. R. Coll. Surg. Engl. 89(4), 359–362 (2007).
  • Lamberton GR, Hsi RS, Jin DH, Lindler TU, Jellison FC, Baldwin DD. Prospective comparison of four laparoscopic vessel ligation devices. J. Endourol. 22(10), 2307–2312 (2008).
  • Goldstein SL, Harold KL, Lentzner A et al. Comparison of thermal spread after ureteral ligation with the Laparo-Sonic ultrasonic shears and the LigaSure system. J. Laparoendosc. Adv. Surg. Tech. A 12(1), 61–63 (2002).
  • Smith CT, Zarebczan B, Alhefdhi A, Chen H. Infrared thermographic profiles of vessel sealing devices on thyroid parenchyma. J. Surg. Res. 170(1), 64–68 (2011).
  • Campbell PA, Cresswell AB, Frank TG, Cuschieri A. Real-time thermography during energized vessel sealing and dissection. Surg. Endosc. 17(10), 1640–1645 (2003).
  • Kim FJ, Chammas MF Jr, Gewehr E et al. Temperature safety profile of laparoscopic devices: Harmonic ACE (ACE), LigaSure V (LV), and plasma trisector (PT). Surg. Endosc. 22(6), 1464–1469 (2008).
  • Sutton PA, Awad S, Perkins AC, Lobo DN. Comparison of lateral thermal spread using monopolar and bipolar diathermy, the Harmonic Scalpel and the LigaSure. Br. J. Surg. 97(3), 428–433 (2010).
  • Diamantis T, Gialikaris S, Kontos M et al. Comparison of safety and efficacy of ultrasonic and bipolar thermal energy: an experimental study. Surg. Laparosc. Endosc. Percutan. Tech. 18(4), 384–390 (2008).
  • Petrakis IE, Kogerakis NE, Lasithiotakis KG, Vrachassotakis N, Chalkiadakis GE. LigaSure versus clamp-and-tie thyroidectomy for benign nodular disease. Head Neck 26(10), 903–909 (2004).
  • Dionigi G. Energy based devices and recurrent laryngeal nerve injury: the need for safer instruments. Langenbecks Arch. Surg. 394(3), 579–580; author reply 581 (2009).
  • Scilletta B, Cavallaro MP, Ferlito F et al. Thyroid surgery without cut and tie: the use of LigaSure for total thyroidectomy. Int. Surg. 95(4), 293–298 (2010).
  • Youssef T, Mahdy T, Farid M, Latif AA. Thyroid surgery: use of the LigaSure Vessel Sealing System versus conventional knot tying. Int. J. Surg. 6(4), 323–327 (2008).
  • Shen WT, Baumbusch MA, Kebebew E, Duh QY. Use of the electrothermal vessel sealing system versus standard vessel ligation in thyroidectomy. Asian J. Surg. 28(2), 86–89 (2005).
  • Barbaros U, Erbil Y, Bozbora A et al. The use of LigaSure in patients with hyperthyroidism. Langenbecks. Arch. Surg. 391(6), 575–579 (2006).
  • Manouras A, Markogiannakis H, Koutras AS et al. Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, Harmonic Scalpel, and classic suture ligation. Am. J. Surg. 195(1), 48–52 (2008).
  • Fujita T, Doihara H, Ogasawara Y, Shimizu N. Utility of vessel-sealing systems in thyroid surgery. Acta Med. Okayama 60(2), 93–98 (2006).
  • Saint Marc O, Cogliandolo A, Piquard A, Famà F, Pidoto RR. LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study. Arch. Surg. 142(2), 150–156; discussion 157 (2007).
  • Sartori PV, De Fina S, Colombo G et al. LigaSure versus Ultracision in thyroid surgery: a prospective randomized study. Langenbecks. Arch. Surg. 393(5), 655–658 (2008).
  • McNally MM, Agle SC, Williams RF, Pofahl WE. A comparison of two methods of hemostasis in thyroidectomy. Am. Surg. 75(11), 1073–1076 (2009).
  • Manouras A, Lagoudianakis EE, Antonakis PT, Filippakis GM, Markogiannakis H, Kekis PB. Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy. Head Neck 27(11), 959–962 (2005).
  • Cipolla C, Graceffa G, Sandonato L, Fricano S, Vieni S, Latteri MA. LigaSure in total thyroidectomy. Surg. Today 38(6), 495–498 (2008).
  • Kiriakopoulos A, Dimitrios T, Dimitrios L. Use of a diathermy system in thyroid surgery. Arch. Surg. 139(9), 997–1000 (2004).
  • Pons Y, Gauthier J, Ukkola-Pons E et al. Comparison of LigaSure vessel sealing system, Harmonic Scalpel, and conventional hemostasis in total thyroidectomy. Otolaryngol. Head. Neck Surg. 141(4), 496–501 (2009).
  • Cakabay B, Sevinç MM, Gömceli I, Yenidogan E, Ulkü A, Koç S. LigaSure versus clamp-and-tie in thyroidectomy: a single-center experience. Adv. Ther. 26(11), 1035–1041 (2009).
  • Franko J, Kish KJ, Pezzi CM, Pak H, Kukora JS. Safely increasing the efficiency of thyroidectomy using a new bipolar electrosealing device (LigaSure) versus conventional clamp-and-tie technique. Am. Surg. 72(2), 132–136 (2006).
  • Lang BH, Yih PC, Ng KK. A prospective evaluation of quick intraoperative parathyroid hormone assay at the time of skin closure in predicting clinically relevant hypocalcemia after thyroidectomy. World J. Surg. 36(6), 1300–1306 (2012).
  • Singh P, O’Connell D, Langille M, Dziegielewski P, Allegretto M, Harris J. LigaSure versus conventional hemostasis in thyroid surgery: prospective randomized controlled trial. J. Otolaryngol. Head Neck Surg. 39(4), 378–384 (2010).
  • Snyder SK, Lairmore TC, Hendricks JC, Roberts JW. Elucidating mechanisms of recurrent laryngeal nerve injury during thyroidectomy and parathyroidectomy. J. Am. Coll. Surg. 206(1), 123–130 (2008).
  • Chiang FY, Lu IC, Kuo WR, Lee KW, Chang NC, Wu CW. The mechanism of recurrent laryngeal nerve injury during thyroid surgery – the application of intraoperative neuromonitoring. Surgery 143(6), 743–749 (2008).
  • Bliss RD, Gauger PG, Delbridge LW. Surgeon’s approach to the thyroid gland: surgical anatomy and the importance of technique. World J. Surg. 24(8), 891–897 (2000).
  • Bergenfelz A, Jansson S, Kristoffersson A et al. Complications to thyroid surgery: results as reported in a database from a multicenter audit comprising 3,660 patients. Langenbecks Arch. Surg. 393(5), 667–673 (2008).
  • Rosato L, Avenia N, Bernante P et al. Complications of thyroid surgery: analysis of a multicentric study on 14,934 patients operated on in Italy over 5 years. World J. Surg. 28(3), 271–276 (2004).
  • O’Neill CJ, Chang LY, Suliburk JW, Sidhu SB, Delbridge LW, Sywak MS. Sutureless thyroidectomy: surgical technique. ANZ J. Surg. 81(7–8), 515–518 (2011).
  • Parmeggiani U, Avenia N, De Falco M et al. Major complications in thyroid surgery: utility of bipolar vessel sealing (LigaSure Precise). G. Chir. 26(10), 387–394 (2005).
  • Pattou F, Combemale F, Fabre S et al. Hypocalcemia following thyroid surgery: incidence and prediction of outcome. World J. Surg. 22(7), 718–724 (1998).
  • Demeester-Mirkine N, Hooghe L, Van Geertruyden J, De Maertelaer V. Hypocalcemia after thyroidectomy. Arch. Surg. 127(7), 854–858 (1992).
  • Lepner U, Vaasna T. LigaSure vessel sealing system versus conventional vessel ligation in thyroidectomy. Scand. J. Surg. 96(1), 31–34 (2007).
  • Di Rienzo RM, Bove A, Bongarzoni G, Palone G, Corradetti L, Corbellini L. Comparison of conventional technique, LigaSure Precise and Harmonic Focus in total thyroidectomy. G. Chir. 31(6–7), 296–298 (2010).
  • Goretzki PE, Schwarz K, Lammers BJ. Implementing the general use of dissection devices in thyroid surgery from prospective randomized trial to daily use. Surg. Technol. Int. 18, 86–92 (2009).
  • Lachanas VA, Prokopakis EP, Mpenakis AA, Karatzanis AD, Velegrakis GA. The use of LigaSure vessel sealing system in thyroid surgery. Otolaryngol. Head. Neck Surg. 132(3), 487–489 (2005).
  • Bove A, Bongarzoni G, Palone G et al. Comparative study of an electrothermal bipolar vessel sealing system (LigaSure®), a harmonic curved shears (Harmonic Focus™), and traditional technique in total thyroidectomy. Am. Surg. 76(7), e94–e96 (2010).
  • Chang LY, O’Neill C, Suliburk J, Sidhu S, Delbridge L, Sywak M. Sutureless total thyroidectomy: a safe and cost-effective alternative. ANZ J. Surg. 81(7–8), 510–514 (2011).
  • Prokopakis EP, Lachanas VA, Vardouniotis AS, Velegrakis GA. The use of the LigaSure vessel sealing system in head and neck surgery: a report on six years of experience and a review of the literature. B-ENT 6(1), 19–25 (2010).
  • Inabnet WB, Shifrin A, Ahmed L, Sinha P. Safety of same day discharge in patients undergoing sutureless thyroidectomy: a comparison of local and general anesthesia. Thyroid 18(1), 57–61 (2008).
  • Musunuru S, Schaefer S, Chen H. The use of the LigaSure for hemostasis during thyroid lobectomy. Am. J. Surg. 195(3), 382–384; discussion 384 (2008).
  • Kirdak T, Korun N, Ozguc H. Use of ligasure in thyroidectomy procedures: results of a prospective comparative study. World J. Surg. 29(6), 771–774 (2005).
  • Marrazzo A, Taormina P, Gebbiab V et al. Is sentinel lymph node biopsy more accurate than axillary dissection for staging nodal involvement in breast cancer patients? Chir. Ital. 59(5), 693–699 (2007).
  • Kilic I, Sunamak O, Aydogan F et al. LigaSure Precise® use in thyroid operations: a comparison with the conventional method. Eur. Surg. 39(1), 54–56 (2007).
  • Defechereux T, Rinken F, Maweja S, Hamoir E, Meurisse M. Evaluation of the ultrasonic dissector in thyroid surgery. A prospective randomised study. Acta Chir. Belg. 103(3), 274–277 (2003).
  • Minner S, Roediger H, Mansmann U, Boehm B. Randomized controlled trial on vessel sealing in thyroid surgery. Zbl Chir. 132(5), 446–450 (2007).
  • Bove A, Bongarzoni G, Mattei P, Markogiannakis H. Thyroid surgery with Harmonic Focus, LigaSure Precise and conventional technique: a retrospective case matched study. Hippokratia 16(2), 154–159 (2012).
  • Zarebczan B, Mohanty D, Chen H. A comparison of the LigaSure and Harmonic Scalpel in thyroid surgery: a single institution review. Ann. Surg. Oncol. 18(1), 214–218 (2011).
  • Ignjatovic M, Kostic Z. Thyroidectomy with LigaSure. Surg. Today 41(6), 767–773 (2011).
  • Schiphorst AH, Twigt BA, Elias SG, van Dalen T. Randomized clinical trial of LigaSure versus conventional suture ligation in thyroid surgery. Head Neck Oncol. 4, 2 (2012).
  • Yao HS, Wang Q, Wang WJ, Ruan CP. Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation: a systematic review and meta-analysis. Arch. Surg. 144(12), 1167–1174 (2009).
  • Rahbari R, Mathur A, Kitano M et al. Prospective randomized trial of LigaSure versus harmonic hemostasis technique in thyroidectomy. Ann. Surg. Oncol. 18(4), 1023–1027 (2011).
  • Sabaretnam M, Mishra A. Letter to editor in response to the article entitled ‘Prospective randomized trial of LigaSure versus Harmonic hemostasis technique in thyroidectomy’ by Rahbari R et al in Ann. Surg. Oncol. doi:10.1245/s10434-010-1161-6 [Online November 12, 2010). Ann. Surg. Oncol. 18(Suppl. 3), S302; author reply S303 (2011).
  • Carlander J, Johansson K, Lindström S, Velin AK, Jiang CH, Nordborg C. Comparison of experimental nerve injury caused by ultrasonically activated scalpel and electrosurgery. Br. J. Surg. 92(6), 772–777 (2005).
  • Carlander J, Koch C, Brudin L, Nordborg C, Gimm O, Johansson K. Heat production, nerve function, and morphology following nerve close dissection with surgical instruments. World J. Surg. 36(6), 1361–1367 (2012).
  • Tam K-W, Chan ES, Chen C. LigaSure vessel-sealing system or Harmonic Scalpel versus conventional vessel ligation for thyroidectomy (protocol). John Wiley & Sons, NJ, UK (2010).
  • Henry L, Helou L, Solomon N, Chang A, Libutti S, Stojadinovic A. Current practice patterns regarding the conduct of thyroidectomy and parathyroidectomy amongst surgeons – a survey study. J. Cancer 3, 207–216 (2012).
  • Zhu Q, Ruan J, Zhang L, Jiang W, Liu H, Shi G. The study of laparoscopic electrosurgical instruments on thermal effect of uterine tissues Arch. Gynecol. Obstet. 285(6), 1637–1641 (2012).
  • Song C, Tang B, Campbell PA, Cuschieri A. Thermal spread and heat absorbance differences between open and laparoscopic surgeries during energized dissections by electrosurgical instruments. Surg. Endosc. 23(11), 2480–2487 (2009).
  • Ashkenazi D, Mazzawi S. [Hemostasis and bleeding control in thyroid surgery using electrothermal system (LigaSure): our experience in 317 patients]. Harefuah 145(8), 561–564 (2006).
  • Dilek O, Yilmaz S, Degirmenci B, Sahin D, Akbulut G, Dilek F. Theuse of a vessel sealing system in thyroid surgery. Acta Chir. Belg. 105(4), 369–372 (2005).

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