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
- 발행연도
- 2012.12
- 수록면
- 223 - 228 (6page)
이용수
초록· 키워드
오류제보하기
Various energy devices had been used in thyroid surgery. Aim of study is to develop canine model for recurrent laryngeal nerve injury by harmonic scalpel and to evaluate feasibility of using this model for evaluating the safety use of harmonic scalpel during thyroid surgery. Nine dogs were divided into 3 groups according to distance between harmonic scalpel application and recurrent laryngeal nerve; group 1 (1 mm), 2 (2 mm), and 3 (3 mm). Vocal cord function was assessed pre- and postoperatively using video laryngoscopy. Harmonic scalpel was applied adjacent to left recurrent laryngeal nerve and, two weeks later, right recurrent laryngeal nerve at assigned distances. Recurrent laryngeal nerves were evaluated for subacute and acute morphologic changes. Laryngoscopy demonstrated 3 abnormal vocal cords in group 1, 1 in group 2, and no in group 3 (P=0.020). Subacute histologic changes were observed in nerves with abnormal function. Acute histologic changes were observed 5/8 (62.5%) in group 1, 1/7 (14.3%) in group 2, and not in group 3. We developed canine model for recurrent laryngeal injury. The functional outcomes matched with the histologic changes. These warrant further study to determine the safety margin for energy device in vicinity of recurrent laryngeal nerve.
목차
Materials and Methods
Results
Discussion
References
참고문헌 (16)
참고문헌 신청
Manouras A / 2008 / Novel hemostatic devices in thyroid surgery: electrothermal bipolar vessel sealing system and harmonic scalpel / Expert Rev Med Devices 5(4):447~466
Ortega J / 2004 / Efficacy and cost-effectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial / J Laparoendosc Adv Surg Tech A 14(1):9~12
Siperstein AE / 2002 / The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery / Arch Surg 137(2):137~142
Miccoli P / 2006 / Randomized controlled trial of harmonic scalpel use during thyroidectomy / Arch Otolaryngol Head Neck Surg 132(10):1069~1073
Manouras A / 2008 / Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation / Am J Surg 195(1):48~52
Ortega J / 2004 / Efficacy and cost-effectiveness of the UltraCision harmonic scalpel in thyroid surgery: an analysis of 200 cases in a randomized trial / J Laparoendosc Adv Surg Tech A 14(1):9~12
Siperstein AE / 2002 / The use of the harmonic scalpel vs conventional knot tying for vessel ligation in thyroid surgery / Arch Surg 137(2):137~142
Miccoli P / 2006 / Randomized controlled trial of harmonic scalpel use during thyroidectomy / Arch Otolaryngol Head Neck Surg 132(10):1069~1073
Manouras A / 2008 / Thyroid surgery: comparison between the electrothermal bipolar vessel sealing system, harmonic scalpel, and classic suture ligation / Am J Surg 195(1):48~52
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UCI(KEPA) : I410-ECN-0101-2014-510-000573642