Energy-based devices versus conventional ligation in thyroid surgery: operative efficiency and postoperative outcomes

Aims: This study aimed to compare the operative efficiency and postoperative outcomes of thyroidectomy procedures performed using energy-based devices (EBDs) versus conventional ligation techniques.Methods: A retrospective analysis was conducted on 443 patients who underwent total thyroidectomy between January 2019 and August 2025. Patients were divided into two groups: those operated with EBDs (n=162) and those with conventional ligation (n=281). Demographic data, operative time, drain removal time, length of hospital stay, postoperative calcium and parathyroid hormone (PTH) levels, hypocalcemia incidence, recurrent laryngeal nerve injury, and histopathological findings were evaluated. Statistical analyses were performed using non-parametric tests, with p