Work

Comparison of the application value of bipolar electrocoagulation and ultrasonic scalpel in robot-assisted thyroid carcinoma surgery: a single-center study based on perioperative indicator and short-term prognosis

Year: 2026

Type: article

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.

Source: Frontiers in Surgery

DOI: 10.3389/fsurg.2026.1764805

Authors: Yanxu Dong, Liqun Huo, Lu Wang, Jun Gu, Bing Xie, Xiaofan Xu

Institutions: Nanjing General Hospital of Nanjing Military Command, Nanjing University

Language: English

Topic: Thyroid and Parathyroid Surgery

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801