Which hemostatic device in thyroid surgery? A network meta-analysis of surgical technologies

Thyroid

Volumn 23, Issue 9, 2013, Pages 1138-1150

  Garas, George ^a   Okabayashi, Koji ^b   Ashrafian, Hutan ^c   Shetty, Kunal ^c   Palazzo, Fausto ^d   Tolley, Neil ^a   Darzi, Ara ^c   Athanasiou, Thanos ^c   Zacharakis, Emmanouil ^c  

^a IMPERIAL COLLEGE LONDON   (United Kingdom)

^b KEIO UNIVERSITY   (Japan)

^c ST MARY S HOSPITAL   (United Kingdom)

^d HAMMERSMITH HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BLOOD CLOTTING; CLAMP; COMPARATIVE EFFECTIVENESS; COST EFFECTIVENESS ANALYSIS; HEMOSTATIC DEVICE; HOSPITALIZATION; HUMAN; HYPOPARATHYROIDISM; LENGTH OF STAY; META ANALYSIS; OPERATION DURATION; POSTOPERATIVE COMPLICATION; POSTOPERATIVE HEMORRHAGE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL (TOPIC); RECURRENT LARYNGEAL NERVE INJURY; RECURRENT LARYNGEAL NERVE PALSY; SCALPEL; SURGICAL EQUIPMENT; SURGICAL TECHNOLOGY; SYSTEMATIC REVIEW; THYROID SURGERY; VASCULAR EQUIPMENT; ADVERSE EFFECTS; BAYES THEOREM; BLOOD LOSS, SURGICAL; DEVICES; EQUIPMENT DESIGN; HEMOSTASIS; LIGATION; PROBABILITY; RISK; RISK FACTOR; SURGERY; THYROID GLAND; THYROIDECTOMY; TIME; TREATMENT OUTCOME; ULTRASOUND SURGERY; VOCAL CORD PARALYSIS;

BAYES THEOREM; BLOOD LOSS, SURGICAL; COMPARATIVE EFFECTIVENESS RESEARCH; CONSTRICTION; EQUIPMENT DESIGN; HEMOSTASIS, SURGICAL; HUMANS; HYPOPARATHYROIDISM; LENGTH OF STAY; LIGATION; MARKOV CHAINS; ODDS RATIO; RISK FACTORS; SURGICAL INSTRUMENTS; THYROID GLAND; THYROIDECTOMY; TIME FACTORS; TREATMENT OUTCOME; ULTRASONIC SURGICAL PROCEDURES; VOCAL CORD PARALYSIS;

EID: 84884165800     PISSN: 10507256     EISSN: 15579077     Source Type: Journal    
DOI: 10.1089/thy.2012.0588     Document Type: Article

References (76)

1. Pons Y, Gauthier J, Ukkola-Pons E, Clement P, Roguet E, Poncet JL, Conessa C 2009 Comparison of LigaSure vessel sealing system, harmonic scalpel, and conventional hemostasis in total thyroidectomy. Otolaryngol Head Neck Surg 141:496-501.
2. Miccoli P,Materazzi G,MiccoliM, Frustaci G, Fosso A, Berti P 2010 Evaluation of a new ultrasonic device in thyroid surgery: comparative randomized study. Am J Surg 199:736-740.
3. Lombardi CP, Raffaelli M, Cicchetti A, Marchetti M, De Crea C, Di Bidino R, Oragano L, Bellantone R 2008 The use of "harmonic scalpel" versus "knot tying" for conventional "open" thyroidectomy: results of a prospective randomized study. Langenbecks Arch Surg 393:627-631.
4. Singh P, O'Connell D, Langille M, Dziegielewski P, Allegretto M, Harris J 2010 LigaSure versus conventional hemostasis in thyroid surgery: prospective randomized controlled trial. J Otolaryngol Head Neck Surg 39:378-384.
5. Caldwell DM, Ades AE, Higgins JP 2005 Simultaneous comparison of multiple treatments: combining direct and indirect evidence. BMJ 331:897-900.
6. Salanti G, Higgins JP, Ades AE, Ioannidis JP 2008 Evaluation of networks of randomized trials. Stat Methods Med Res 17:279-301.
7. Cipriani A, Barbui C, Rizzo C, Salanti G 2012 What is a multiple treatments meta-analysis? Epidemiol Psychiatr Sci 21:151-153.
8. Garas G, Ibrahim A, Ashrafian H, Ahmed K, Patel V, Okabayashi K, Skapinakis P, Darzi A, Athanasiou T 2012 Evidence-based surgery: barriers, solutions, and the role of evidence synthesis. World J Surg 36:1723-1731.
9. Ioannidis JP 2009 Integration of evidence from multiple metaanalyses: a primer on umbrella reviews, treatment networks and multiple treatments meta-analyses. CMAJ 181:488-493.
10. Salanti G, Dias S, Welton NJ, Ades AE, Golfinopoulos V, Kyrgiou M, Mauri D, Ioannidis JP 2010 Evaluating novel agent effects in multiple-treatments meta-regression. Stat Med 29:2369-2383.
11. Song F, Harvey I, Lilford R 2008 Adjusted indirect comparison may be less biased than direct comparison for evaluating new pharmaceutical interventions. J Clin Epidemiol 61:455-463.
12. Jadad AR, Moore RA, Carroll D, Jenkinson C, Reynolds DJ, Gavaghan DJ, McQuayHJ 1996 Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 17:1-12.
13. Moher D, Cook DJ, Jadad AR, Tugwell P, Moher M, Jones A, Pham B, Klassen TP 1999 Assessing the quality of reports of randomised trials: implications for the conduct of metaanalyses. Health Technol Assess 3:i-iv, 1-98.
14. Murtuza B, Pepper JR, Jones C, Nihoyannopoulos P, Darzi A, Athanasiou T 2011 Does stentless aortic valve implantation increase perioperative risk? A critical appraisal of the literature and risk of bias analysis. Eur J Cardiothorac Surg 39:643-652.
15. Moher D, Liberati A, Tetzlaff J, Altman DG 2009 Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535.
16. DerSimonian R, Laird N 1986 Meta-analysis in clinical trials. Control Clin Trials 7:177-188.
17. Golfinopoulos V, Salanti G, Pavlidis N, Ioannidis JP 2007 Survival and disease-progression benefits with treatment regimens for advanced colorectal cancer: a meta-analysis. Lancet Oncol 8:898-911.
18. Cipriani A, Barbui C, Salanti G, Rendell J, Brown R, Stockton S, Purgato M, Spineli LM, Goodwin GM, Geddes JR 2011 Comparative efficacy and acceptability of antimanic drugs in acute mania: a multiple-treatments meta-analysis. Lancet 378:1306-1315.
19. Salanti G, Ades AE, Ioannidis JP 2011 Graphical methods and numerical summaries for presenting results from multiple-treatment meta-analysis: an overview and tutorial. J Clin Epidemiol 64:163-171.
20. Barczynski M, Konturek A, Cichon S 2008 Minimally invasive video-assisted thyreoidectomy (MIVAT) with and without use of harmonic scalpel-a randomized study. Langenbecks Arch Surg 393:647-654.
21. Coimbra C, Defechereux T, Meurisse N, Squifflet JP, Meurisse M 2007 [Ultrasonic scalpel in thyroid surgery]. Rev Med Liege 62 Spec No:83-85.
22. Cordon C, Fajardo R, Ramirez J, Herrera MF 2005A randomized, prospective, parallel group study comparing the Harmonic Scalpel to electrocautery in thyroidectomy. Surgery 137:337-341.
23. Di Rienzo RM, Bove A, Bongarzoni G, Palone G, Corradetti L, Corbellini L 2010 [Comparison of conventional technique, Ligasure Precise and Harmonic Focus in total thyroidectomy]. G Chir 31:296-298.
24. Frazzetta M, Furgiuele G, Raimondo D, Sammartano A, Mannino E, De Simone G, VetriG, Bonventre S, Di Gesu G 2005 [Ultrasonic dissector for total thyroidectomy: results of prospective randomized study]. G Chir 26:295-301.
25. Goretzki PE, Schwarz K, Lammers BJ 2009 Implementing the general use of dissection devices in thyroid surgery from prospective randomized trial to daily use. Surg Technol Int 18:86-92.
26. Hallgrimsson P, Loven L, Westerdahl J, Bergenfelz A 2008 Use of the harmonic scalpel versus conventional haemostatic techniques in patients with Grave disease undergoing total thyroidectomy: a prospective randomised controlled trial. Langenbecks Arch Surg 393:675-680.
27. Kilic I, Sunamak O, Aydogan F, Sen B, Altintas B, Duren M, Ozcan M 2007 LigaSure Precise use in thyroid operations: a comparison with the conventional method. Eur Surg 39:54-56.
28. Kilic M, Keskek M, Ertan T, Yoldas O, Bilgin A, Koc M 2007A prospective randomized trial comparing the harmonic scalpel with conventional knot tying in thyroidectomy. Adv Ther 24:632-638.
29. Koh YW, Park JH, Lee SW, Choi EC 2008 The harmonic scalpel technique without supplementary ligation in total thyroidectomy with central neck dissection: a prospective randomized study. Ann Surg 247:945-949.
30. Manouras A, Lagoudianakis EE, Antonakis PT, Filippakis GM, Markogiannakis H, Kekis PB 2005 Electrothermal bipolar vessel sealing system is a safe and time-saving alternative to classic suture ligation in total thyroidectomy. Head Neck 27:959-962.
31. Marchesi M, Biffoni M, Cresti R, Mulas MM, Turriziani V, Berni A, Campana FP 2003 [Ultrasonic scalpel in thyroid surgery]. Chir Ital 55:299-308.
32. Marrazzo A, Casa L, David M, Lo Gerfo D, Noto A, Riili I, Taormina P 2007 [Thyroidectomy with LigaSure versus traditional thyroidectomy: our experience]. Chir Ital 59:361-365.
33. Miccoli P, Berti P, Dionigi G, D'Agostino J, Orlandini C, Donatini G 2006 Randomized controlled trial of harmonic scalpel use during thyroidectomy. Arch Otolaryngol Head Neck Surg 132:1069-1073.
34. Miccoli P,Materazzi G, Fregoli L, Panicucci E, Kunz-Martinez W, Berti P 2009 Modified lateral neck lymphadenectomy: prospective randomized study comparing harmonic scalpel with clamp-and-tie technique. Otolaryngol Head Neck Surg 140:61-64.
35. Minner S, Rodiger H, Mansmann U, Bohm B 2007 [Randomized controlled trial on vessel sealing in thyroid surgery]. Zentralbl Chir 132:446-450.
36. Ortega J, Sala C, Flor B, Lledo S 2004 Efficacy and costeffectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial. J Laparoendosc Adv Surg Tech A 14:9-12.
37. Papavramidis TS, Sapalidis K, Michalopoulos N, Triantafillopoulou K, Gkoutzamanis G, Kesisoglou I, Papavramidis ST 2010 UltraCision harmonic scalpel versus clamp-and-tie total thyroidectomy: a clinical trial. Head Neck 32:723-727.
38. Rahbari R, Mathur A, Kitano M, Guerrero M, Shen WT, Duh QY, Clark OH, Kebebew E 2011 Prospective randomized trial of ligasure versus harmonic hemostasis technique in thyroidectomy. Ann Surg Oncol 18:1023-1027.
39. Saint Marc O, Cogliandolo A, Piquard A, Fama F, Pidoto RR 2007 LigaSure vs clamp-and-tie technique to achieve hemostasis in total thyroidectomy for benign multinodular goiter: a prospective randomized study. Arch Surg 142:150-156; discussion 157.
40. Sartori PV, De Fina S, Colombo G, Pugliese F, Romano F, Cesana G, Uggeri F 2008 Ligasure versus Ultracision in thyroid surgery: a prospective randomized study. Langenbecks Arch Surg 393:655-658.
41. Scerrino G, Paladino NC, Di Paola V, Morfino G, Matranga D, Gulotta G, Bonventre S 2010 Total thyroidectomy performed with the Starion vessel sealing system versus the conventional technique: a prospective randomized trial. Surg Innov 17:242-247.
42. Voutilainen PE, Haglund CH 2000 Ultrasonically activated shears in thyroidectomies: a randomized trial. Ann Surg 231:322-328.
43. Witzel K, von Rahden BH, Stein HJ 2009 The effect of ultrasound dissection in thyroid surgery. Eur Surg Res 43:241-244.
44. Yildirim O, Umit T, Ebru M, Bulent U, Belma K, Betul B, Mete D, Omer C 2008 Ultrasonic harmonic scalpel in total thyroidectomies. Adv Ther 25:260-265.
45. Dionigi G, Boni L, Rausei S, Frattini F, Ferrari CC, Mangano A, Leotta A, Franchin M 2012 The safety of energy-based devices in open thyroidectomy: a prospective, randomised study comparing the LigaSure (LF1212) and the Harmonic( R) FOCUS. Langenbecks Arch Surg 397:817-823.
46. Ferri E, Armato E, Spinato G, Spinato R 2011 Focus harmonic scalpel compared to conventional haemostasis in open total thyroidectomy: a prospective randomized trial. Int J Otolaryngol 2011:357195.
47. Gentileschi P, D'Ugo S, Iaculli E, Gaspari AL 2011 Harmonic Focus versus "knot tying" during total thyroidectomy: a randomized trial. Updates Surg 63:277-281.
48. Mourad M, Rulli F, Robert A, Scholtes JL, De Meyer M, De Pauw L 2011 Randomized clinical trial on Harmonic Focus shears versus clamp-and-tie technique for total thyroidectomy. Am J Surg 202:168-174.
49. Schiphorst AH, Twigt BA, Elias SG, van Dalen T 2012 Randomized clinical trial of LigaSure versus conventional suture ligation in thyroid surgery. Head Neck Oncol 4:2.
50. He Q, Zhuang D, Zheng L, Zhou P, Chai J, Lv Z 2011 Harmonic focus in total thyroidectomy plus level III-IV and VI dissection: a prospective randomized study. World J Surg Oncol 9:141.
51. Miccoli P, Berti P, Raffaelli M, Materazzi G, Conte M, Galleri D 2002 Impact of harmonic scalpel on operative time during video-assisted thyroidectomy. Surg Endosc 16:663-666.
52. Cirocchi R, D'Ajello F, Trastulli S, Santoro A, Di Rocco G, Vendettuoli D, Rondelli F, Giannotti D, Sanguinetti A, Minelli L, Redler A, Basoli A, Avenia N 2010 Meta-analysis of thyroidectomy with ultrasonic dissector versus conventional clamp and tie. World J Surg Oncol 8:112.
53. Ecker T, Carvalho AL, Choe JH, Walosek G, Preuss KJ 2010 Hemostasis in thyroid surgery: harmonic scalpel versus other techniques-a meta-analysis. Otolaryngol Head Neck Surg 143:17-25.
54. Melck AL, Wiseman SM 2010 Harmonic scalpel compared to conventional hemostasis in thyroid surgery: a meta-analysis of randomized clinical trials. Int J Surg Oncol 2010:396079.
55. Yao HS, Wang Q, Wang WJ, Ruan CP 2009 Prospective clinical trials of thyroidectomy with LigaSure vs conventional vessel ligation: a systematic review and meta-analysis. Arch Surg 144:1167-1174.
56. Salanti G 2013 Multiple-treatments meta-analysis: a framework for evaluating and ranking multiple healthcare technologies. Available at www.mtm.uoi.gr (accessed February 9, 2013).
57. Kern KA 1993 Medicolegal analysis of errors in diagnosis and treatment of surgical endocrine disease. Surgery 114: 1167-1173; discussion 1173-1164.
58. Schulte KM, Roher HD 1999 [Medico-legal aspects of thyroid surgery]. Chirurg 70:1131-1138.
59. Abadin SS, Kaplan EL, Angelos P 2010 Malpractice litigation after thyroid surgery: the role of recurrent laryngeal nerve injuries, 1989-2009. Surgery 148:718-722; discussion 722-713.
60. Randolph GW, Dralle H, Abdullah H, Barczynski M, Bellantone R, Brauckhoff M, Carnaille B, Cherenko S, Chiang FY, Dionigi G, et al. 2011 Electrophysiologic recurrent laryngeal nerve monitoring during thyroid and parathyroid surgery: international standards guideline statement. Laryngoscope 121 Suppl 1:S1-S16.
61. Higgins JPT, Deeks JJ, Altman DG 2008 Special topics in statistics. In: Higgins JPT, Green S (eds) Cochrane Handbook for Systematic Reviews of Interventions (Wiley Cochrane Series). The Cochrane Collaboration and John Wiley & Sons Ltd., Chichester, West Sussex, pp 481-530.
62. Cernea CR, Brandao LG, Brandao J 2012 Neuromonitoring in thyroid surgery. Curr Opin Otolaryngol Head Neck Surg 20:125-129.
63. O'Neill CJ, Chang LY, Suliburk JW, Sidhu SB, Delbridge LW, Sywak MS 2011 Sutureless thyroidectomy: surgical technique. ANZ J Surg 81:515-518.
64. Chang LY, O'Neill C, Suliburk J, Sidhu S, Delbridge L, Sywak M 2011 Sutureless total thyroidectomy: a safe and costeffective alternative. ANZ J Surg 81:510-514.
65. Song F, Loke YK, Walsh T, Glenny AM, Eastwood AJ, Altman DG 2009 Methodological problems in the use of indirect comparisons for evaluating healthcare interventions: survey of published systematic reviews. BMJ 338:b1147.
66. Glenny AM, Altman DG, Song F, Sakarovitch C, Deeks JJ, D'Amico R, Bradburn M, Eastwood AJ 2005 Indirect comparisons of competing interventions. Health Technol Assess 9:1-134, iii-iv.
67. Song F, Altman DG, Glenny AM, Deeks JJ 2003 Validity of indirect comparison for estimating efficacy of competing interventions: empirical evidence from published metaanalyses. BMJ 326:472.
68. Heres S, Davis J, Maino K, Jetzinger E, Kissling W, Leucht S 2006 Why olanzapine beats risperidone, risperidone beats quetiapine, and quetiapine beats olanzapine: an exploratory analysis of head-to-head comparison studies of second-generation antipsychotics. Am J Psychiatry 163:185-194.
69. Ioannidis JP 2006 Indirect comparisons: the mesh and mess of clinical trials. Lancet 368:1470-1472.
70. Mauri D, Polyzos NP, Salanti G, Pavlidis N, Ioannidis JP 2008 Multiple-treatments meta-analysis of chemotherapy and targeted therapies in advanced breast cancer. J Natl Cancer Inst 100:1780-1791.
71. Sosa JA, Bowman HM, Tielsch JM, Powe NR, Gordon TA, Udelsman R 1998 The importance of surgeon experience for clinical and economic outcomes from thyroidectomy. Ann Surg 228:320-330.
72. Stavrakis AI, Ituarte PH, Ko CY, Yeh MW 2007 Surgeon volume as a predictor of outcomes in inpatient and outpatient endocrine surgery. Surgery 142:887-899; discussion 887-899.
73. Atkins D, Best D, Briss PA, Eccles M, Falck-Ytter Y, Flottorp S, Guyatt GH, Harbour RT, Haugh MC, Henry D, et al. 2004 Grading quality of evidence and strength of recommendations. BMJ 328:1490.
74. Atkins D, Briss PA, Eccles M, Flottorp S, Guyatt GH, Harbour RT, Hill S, Jaeschke R, Liberati A, Magrini N, et al. 2005 Systems for grading the quality of evidence and the strength of recommendations II: pilot study of a new system. BMC Health Serv Res 5:25.
75. Forbes S, Eskicioglu C, McLeod R 2010 Clinical practice guidelines in surgery. In: Athanasiou T, Debas H, Darzi A (eds) Key Topics in Surgical Research and Methodology. Springer, London, pp 637-645.
76. Higgins JPT, Altman DG 2008 Assessing risk of bias in included studies. In: Higgins JPT, Green S (eds) Cochrane Handbook for Systematic Reviews of Interventions (Wiley Cochrane Series). The Cochrane Collaboration and John Wiley & Sons Ltd., Chichester, West Sussex, pp 187-242.