"4"^^ . "5" . . "93" . . . "[B0D6F5D16943]" . "Dissection and coagulation technique in thyroid surgery - is it the key to a successful outcome?"@en . "4"^^ . . . . "Dissection and coagulation technique in thyroid surgery - is it the key to a successful outcome?"@en . "http://www.prolekare.cz/rozhledy-v-chirurgii-clanek/disekcni-a-koagulacni-technika-ma-vliv-na-vysledky-totalni-tyreoidektomie-48743" . "0035-9351" . . . "pooperative complications; standard electrocautery, bipolar forceps; postoperative bleeding; total thyroidectomy"@en . "\u00DAvod: \u0160etrn\u00E1 disekce a dokonal\u00E1 hemost\u00E1za jsou d\u016Fle\u017Eit\u00FDm aspektem tot\u00E1ln\u00ED tyreoidektomie. Standardn\u011B se pou\u017E\u00EDv\u00E1 monopol\u00E1rn\u00ED koagulace a podvazy c\u00E9v, alternativn\u011B koagulace bipol\u00E1rn\u00ED pinzetou. C\u00EDlem pr\u00E1ce je posoudit, zda kompletn\u00ED hemost\u00E1za bipol\u00E1rn\u00ED pinzetou bez u\u017Eit\u00ED ligatur je k o\u0161et\u0159en\u00ED krv\u00E1cen\u00ED bezpe\u010Dn\u011Bj\u0161\u00ED a vhodn\u011Bj\u0161\u00ED ne\u017E monopol\u00E1rn\u00ED elektrokoagulace a ligace c\u00E9v b\u011Bhem tot\u00E1ln\u00ED tyreoidektomie. Materi\u00E1l a metodika: Do studie bylo za\u0159azeno 118 pacient\u016F s onemocn\u011Bn\u00EDm \u0161t\u00EDtn\u00E9 \u017El\u00E1zy, kte\u0159\u00ED podstoupili tot\u00E1ln\u00ED tyreoidektomii. U 82 pacient\u016F byla pou\u017Eita monopol\u00E1rn\u00ED elektrokoagulace, u 36 pacient\u016F bipol\u00E1rn\u00ED pinzeta. U v\u0161ech pacient\u016F byl prospektivn\u011B sledov\u00E1n v\u00FDskyt poopera\u010Dn\u00EDch komplikac\u00ED spojen\u00FDch s tot\u00E1ln\u00ED tyreoidektomi\u00ED (poopera\u010Dn\u00ED krv\u00E1cen\u00ED, obrna zvratn\u00E9ho nervu, porucha funkce p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek). Doba sledov\u00E1n\u00ED (operace - posledn\u00ED kontrola) \u010Dinila 6 m\u011Bs\u00EDc\u016F. V\u00FDsledky: V\u00FDsledky pr\u00E1ce potvrdily u tot\u00E1ln\u00ED tyreoidektomie srovnatelnou bezpe\u010Dnost u\u017Eit\u00ED bipol\u00E1rn\u00ED pinzety a monopol\u00E1rn\u00ED elektrokoagulace. Mezi ob\u011Bma soubory pacient\u016F nebyl prok\u00E1z\u00E1n statisticky v\u00FDznamn\u00FD rozd\u00EDl v incidenci jednoliv\u00FDch poopera\u010Dn\u00EDch komplikac\u00ED. Incidence poopera\u010Dn\u00EDch komplikac\u00ED byla v cel\u00E9m souboru srovnatel\u00E1 s incidenc\u00ED ud\u00E1vanou v literatu\u0159e. Z\u00E1v\u011Br: Pou\u017Eit\u00EDm bipol\u00E1rn\u00ED pinzety p\u0159i tot\u00E1ln\u00ED tyreoidektomii lze dos\u00E1hnout stejn\u011B efektivn\u00ED hemost\u00E1zy jako p\u0159i koagulaci monopol\u00E1rn\u00ED pinzetou a podvazy, bez zv\u00FD\u0161en\u00ED rizika ostatn\u00EDch operaci specifick\u00FDch komplikac\u00ED (obrna zvratn\u00E9ho nervu, porucha funkce p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek). V\u00FDskyt poopera\u010Dn\u00EDch komplikac\u00ED z\u00E1vis\u00ED zejm\u00E9na na zku\u0161enost\u00ED operat\u00E9ra, charakteru onemocn\u011Bn\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a povahy a rozsahu vlastn\u00EDho chirurgick\u00E9ho v\u00FDkonu."@cs . . "11716" . "RIV/00216208:11130/14:10293419!RIV15-MSM-11130___" . . . "5"^^ . "CZ - \u010Cesk\u00E1 republika" . "Hoch, Ji\u0159\u00ED" . "11130" . . . . . "Koci\u00E1n, Petr" . "RIV/00216208:11130/14:10293419" . "Disek\u010Dn\u00ED a koagula\u010Dn\u00ED technika - m\u00E1 vliv na v\u00FDsledky tot\u00E1ln\u00ED tyreoidektomie?"@cs . "Disek\u010Dn\u00ED a koagula\u010Dn\u00ED technika - m\u00E1 vliv na v\u00FDsledky tot\u00E1ln\u00ED tyreoidektomie?" . "Bavor, Petr" . "Disek\u010Dn\u00ED a koagula\u010Dn\u00ED technika - m\u00E1 vliv na v\u00FDsledky tot\u00E1ln\u00ED tyreoidektomie?" . . "Rozhledy v chirurgii" . "Neumann, Jan" . "I" . "Introduction: This study analyzes the impact of coagulation instrument devices used during thyroid gland removal in which careful dissection and perfect haemostasis represent very important aspects. Standard electrocautery is compared to the use of bipolar forceps. The aim is to determine whether the use of different modes of coagulation is the key to the frequency and severity of postoperative complications following total thyroidectomy. Material and methods: This study included 82 patients undergoing total thyroidectomy with haemostasis by conventional suture ligation technique combined with monopolar electrocauterization and 36 patients undergoing total thyroidectomy with complete haemostasis by bipolar forceps. The main outcomes measured were postoperative bleeding, recurrent laryngeal nerve palsy and post-thyroidectomy hypocalcaemia and hypoparathyroidism. Patients were followed up for 6 months. Results: The results of our study showed that the use of bipolar forceps for vessel ligation in thyroid surgery is as safe and effective as the use of monopolar electrocautery and ligatures. Statistical analysis showed no significant differences in the rate of the individual postoperative complications between the two cohorts. Complication rates in the entire cohort were comparable with data reported in the literature. Conclusion: Both approaches are safe and reliable and both represent valid options. The choice might depend on the surgeon's preferences and experience, the nature of the thyroid condition and the nature and extent of the surgical procedure."@en . . "\u00DAvod: \u0160etrn\u00E1 disekce a dokonal\u00E1 hemost\u00E1za jsou d\u016Fle\u017Eit\u00FDm aspektem tot\u00E1ln\u00ED tyreoidektomie. Standardn\u011B se pou\u017E\u00EDv\u00E1 monopol\u00E1rn\u00ED koagulace a podvazy c\u00E9v, alternativn\u011B koagulace bipol\u00E1rn\u00ED pinzetou. C\u00EDlem pr\u00E1ce je posoudit, zda kompletn\u00ED hemost\u00E1za bipol\u00E1rn\u00ED pinzetou bez u\u017Eit\u00ED ligatur je k o\u0161et\u0159en\u00ED krv\u00E1cen\u00ED bezpe\u010Dn\u011Bj\u0161\u00ED a vhodn\u011Bj\u0161\u00ED ne\u017E monopol\u00E1rn\u00ED elektrokoagulace a ligace c\u00E9v b\u011Bhem tot\u00E1ln\u00ED tyreoidektomie. Materi\u00E1l a metodika: Do studie bylo za\u0159azeno 118 pacient\u016F s onemocn\u011Bn\u00EDm \u0161t\u00EDtn\u00E9 \u017El\u00E1zy, kte\u0159\u00ED podstoupili tot\u00E1ln\u00ED tyreoidektomii. U 82 pacient\u016F byla pou\u017Eita monopol\u00E1rn\u00ED elektrokoagulace, u 36 pacient\u016F bipol\u00E1rn\u00ED pinzeta. U v\u0161ech pacient\u016F byl prospektivn\u011B sledov\u00E1n v\u00FDskyt poopera\u010Dn\u00EDch komplikac\u00ED spojen\u00FDch s tot\u00E1ln\u00ED tyreoidektomi\u00ED (poopera\u010Dn\u00ED krv\u00E1cen\u00ED, obrna zvratn\u00E9ho nervu, porucha funkce p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek). Doba sledov\u00E1n\u00ED (operace - posledn\u00ED kontrola) \u010Dinila 6 m\u011Bs\u00EDc\u016F. V\u00FDsledky: V\u00FDsledky pr\u00E1ce potvrdily u tot\u00E1ln\u00ED tyreoidektomie srovnatelnou bezpe\u010Dnost u\u017Eit\u00ED bipol\u00E1rn\u00ED pinzety a monopol\u00E1rn\u00ED elektrokoagulace. Mezi ob\u011Bma soubory pacient\u016F nebyl prok\u00E1z\u00E1n statisticky v\u00FDznamn\u00FD rozd\u00EDl v incidenci jednoliv\u00FDch poopera\u010Dn\u00EDch komplikac\u00ED. Incidence poopera\u010Dn\u00EDch komplikac\u00ED byla v cel\u00E9m souboru srovnatel\u00E1 s incidenc\u00ED ud\u00E1vanou v literatu\u0159e. Z\u00E1v\u011Br: Pou\u017Eit\u00EDm bipol\u00E1rn\u00ED pinzety p\u0159i tot\u00E1ln\u00ED tyreoidektomii lze dos\u00E1hnout stejn\u011B efektivn\u00ED hemost\u00E1zy jako p\u0159i koagulaci monopol\u00E1rn\u00ED pinzetou a podvazy, bez zv\u00FD\u0161en\u00ED rizika ostatn\u00EDch operaci specifick\u00FDch komplikac\u00ED (obrna zvratn\u00E9ho nervu, porucha funkce p\u0159\u00ED\u0161t\u00EDtn\u00FDch t\u011Bl\u00EDsek). V\u00FDskyt poopera\u010Dn\u00EDch komplikac\u00ED z\u00E1vis\u00ED zejm\u00E9na na zku\u0161enost\u00ED operat\u00E9ra, charakteru onemocn\u011Bn\u00ED \u0161t\u00EDtn\u00E9 \u017El\u00E1zy a povahy a rozsahu vlastn\u00EDho chirurgick\u00E9ho v\u00FDkonu." . . "Disek\u010Dn\u00ED a koagula\u010Dn\u00ED technika - m\u00E1 vliv na v\u00FDsledky tot\u00E1ln\u00ED tyreoidektomie?"@cs . .