Energy based devices (EBD) have been developed, implemented and increasingly applied in thyroid surgery because they can provide a combined dissection and haemostatic effect. In particular, advantages of EBD have been described in terms of efficacious haemostasis, reduction of procedure-associated time, reduced incision length, less operative blood loss and transfusion need, decreased postoperative drain, pain and hospital stay. In addition, EBD are essential for endoscopic procedures. On the contrary, a potential drawback is the increased health care costs. This paper reviews relevant medical literature published on the safety of new devices for achieving hemostasis and dissection around the recurrent laryngeal nerve (RLN).
[1]Univ Insubria Como Varese, Div Surg 1, Res Ctr Endocrine Surg, Dept Surg Sci & Human Morphol, Varese, Italy.
[2]Kaohsiung Med Univ, Dept Otolaryngol Head & Neck Surg, Kaohsiung Med Univ Hosp, Kaohsiung, Taiwan.
[3]Korea Univ, Coll Med, Korea Univ Hosp, KUMC Thyroid Ctr,Dept Surg, Seoul, South Korea.
[4]Jilin Univ, China Japan Union Hosp, Div Thyroid Surg, Jilin Prov Key Lab Surg Translat Med, Changchun 130031, Peoples R China.
[5]Sun Yat Sen Univ, Affiliated Hosp 3, Div Thyroid & Breast Surg, Guangzhou 510630, Guangdong, Peoples R China.
[6]Harvard Med Sch, Div Thyroid & Parathyroid Endocrine Surg, Dept Otol & Laryngol, Massachusetts Eye & Ear Infirm, Boston, MA USA.
[7]Police Gen Hosp, Dept Surg, Minimally Invas & Endocrine Surg Div, Bangkok, Thailand.
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