Abstract
OBJECTIVE: To study the effectiveness of bipolar electrocoagulation cutting technology and traditional ultrasonic scalpel cutting technology in Da Vinci robot-assisted thyroid carcinoma surgery. METHODS: We retrospectively reviewed 154 patients with thyroid carcinoma who had undergone ultrasonic scalper (US, n = 81) or Maryland bipolar electrocoagulation (MB, n = 73) cutting in Da Vinci robotic surgery. The operation time, complications, efficacy and other clinical indicators were compared between the two groups. RESULTS: The operation time of the MB group was significantly reduced (p < 0.05), and the drainage volume was significantly higher than that of the US group (p < 0.05). The postoperative PTH and serum calcium levels of total thyroidectomy in the MB group were higher than those in the US group (p < 0.05), which were (US: 2.07 ± 1.51, MB: 2.42 ± 1.46) and (US: 2.15 ± 0.14, MB: 2.20 ± 0.13). CONCLUSION: Bipolar coagulation cutting technology is more precise. Its application in robotic thyroid surgery can significantly shorten the operation time and protect parathyroid function, which has better clinical application prospects.