지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.94 No.6
- 발행연도
- 2018.6
- 수록면
- 285 - 290 (6page)
이용수
초록· 키워드
오류제보하기
Purpose: Among the various energy-based devices, ultrasonic shears are popular in thyroid surgeries. In this study, we tested the safety of Harmonic ACE and Harmonic ACE+ around the recurrent laryngeal nerve (RLN) in experimental swine models.
Methods: Harmonic ACE and Harmonic ACE+ were each tested in 4 piglets. Harmonic ACE and Harmonic ACE+ were activated at a 0- to 5-mm distance from the RLN. The function of the RLN was assessed using continuous electrophysiological monitoring.
Results: For Harmonic ACE, there was no adverse EMG event found when activated at 4- and 5-mm distances from the RLN. At a 2- to 3-mm distance, there were 4 adverse EMG events observed. In these 4 cases, adjacent tissue shrinkage occurred after 6 to 15 seconds of activation, and the RLN touched the Harmonic ACE. At a 1-mm distance, there were 2 adverse EMG events found after 25 seconds of activation. For Harmonic ACE+, there was no adverse EMG event observed when activated at 1- and 3-mm distances from the RLN. At a 0-mm distance, 2 adverse EMG events occurred after 6 to 10 seconds of activation.
Conclusion: The safe distance of Harmonic ACE and ACE+ was 4 and 1 mm, respectively, in the swine models. Harmonic ACE+ is safer than Harmonic ACE because it did not cause any tissue shrinkage. Surgeons need to understand the characteristics of devices for safe operation.
Methods: Harmonic ACE and Harmonic ACE+ were each tested in 4 piglets. Harmonic ACE and Harmonic ACE+ were activated at a 0- to 5-mm distance from the RLN. The function of the RLN was assessed using continuous electrophysiological monitoring.
Results: For Harmonic ACE, there was no adverse EMG event found when activated at 4- and 5-mm distances from the RLN. At a 2- to 3-mm distance, there were 4 adverse EMG events observed. In these 4 cases, adjacent tissue shrinkage occurred after 6 to 15 seconds of activation, and the RLN touched the Harmonic ACE. At a 1-mm distance, there were 2 adverse EMG events found after 25 seconds of activation. For Harmonic ACE+, there was no adverse EMG event observed when activated at 1- and 3-mm distances from the RLN. At a 0-mm distance, 2 adverse EMG events occurred after 6 to 10 seconds of activation.
Conclusion: The safe distance of Harmonic ACE and ACE+ was 4 and 1 mm, respectively, in the swine models. Harmonic ACE+ is safer than Harmonic ACE because it did not cause any tissue shrinkage. Surgeons need to understand the characteristics of devices for safe operation.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (19)
참고문헌 신청
[학술지(정기간행물)] - Agcaoglu O / 2013 / The use of the harmonic scalpel versus knot tying for modified radical neck dissection / Surg Innov 20 : 81 ~ 85
[학술지(정기간행물)] - Cannizzaro MA / 2014 / The use of FOCUS Harmonic scalpel compared to conventional haemostasis (knot and tie ligation) for thyroid surgery: a prospective randomized study / Springerplus 3 : 639 ~
[학술지(정기간행물)] - Duan YF / 2013 / FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study / J Otolaryngol Head Neck Surg 42 : 62 ~
[학술지(정기간행물)] - Ferri E / 2011 / Focus harmonic scalpel compared to conventional haemostasis in open total thyroidectomy: a prospective randomized trial / Int J Otolaryngol 2011 : 357195 ~
[학술지(정기간행물)] - Melck AL / 2010 / Harmonic scalpel compared to conventional hemostasis in thyroid surgery: a meta-analysis of randomized clinical trials / Int J Surg Oncol 2010 : 396079 ~
[학술지(정기간행물)] - Cannizzaro MA / 2014 / The use of FOCUS Harmonic scalpel compared to conventional haemostasis (knot and tie ligation) for thyroid surgery: a prospective randomized study / Springerplus 3 : 639 ~
[학술지(정기간행물)] - Duan YF / 2013 / FOCUS harmonic scalpel compared to conventional hemostasis in open total thyroidectomy - a prospective randomized study / J Otolaryngol Head Neck Surg 42 : 62 ~
[학술지(정기간행물)] - Ferri E / 2011 / Focus harmonic scalpel compared to conventional haemostasis in open total thyroidectomy: a prospective randomized trial / Int J Otolaryngol 2011 : 357195 ~
[학술지(정기간행물)] - Melck AL / 2010 / Harmonic scalpel compared to conventional hemostasis in thyroid surgery: a meta-analysis of randomized clinical trials / Int J Surg Oncol 2010 : 396079 ~
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