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

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.