Automatic periodic stimulation of the vagus nerve during single-incision transaxillary robotic thyroidectomy: Feasibility, safety, and first cases
Automatic periodic stimulation of the vagus nerve during single-incision transaxillary robotic thyroidectomy: Feasibility, safety, and first cases
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DOI：
10.1002/hed.24259
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发表时间：
2016-03-01
影响因子：
2.9
通讯作者：
Knecht, Rainald
中科院分区：
文献类型：
--
作者：
Loerincz, Balazs B.;Moeckelmann, Nikolaus;Knecht, Rainald
BackgroundAutomatic periodic stimulation（APS）of vagus nerve during thyroid surgery may provide the patient with increased safety to prevent hemorrhagic or stretch-related injury to the rearsenal nerve（RLN）.MethodsVagal stimulation would be particularly interested in remote access robotical thyroid surgery，where the RLN may be exposed to more conducted heat because of the exclusive use of the Harmonic scabble.使用APS，控制台外科医生可以调整解剖技术，根据信号的变化，以避免即将发生的热损伤nerve.ResultsIn 2 transaxillary机器人甲状腺切除术的情况下，我们把迷走神经电极到同侧迷走神经干通过单切口transaxillary接入对接前的达芬奇机器人。APS的同侧神经已经进行了无并发症。ConclusionAPS的同侧迷走神经是可行的，安全的，在经腋下机器人甲状腺切除术，并可能有助于防止即将发生的热损伤的喉返神经。(c)2015年威利期刊公司头颈部38：482-485，2016
BackgroundAutomatic periodic stimulation (APS) of the vagus nerve during thyroid surgery may provide the patient with increased safety to prevent impending thermal or stretch-related injury to the recurrent laryngeal nerve (RLN).MethodsVagal stimulation would be of particular interest in remote access robotic thyroid surgery, where the RLN may be exposed to more conducted heat because of the exclusive use of the Harmonic scalpel. Using APS, the console surgeon may adjust the dissection technique according to the signal changes to avoid impending thermal damage to the nerve.ResultsIn 2 transaxillary robotic thyroidectomy cases, we placed the vagus electrode onto the ipsilateral vagus trunk through the single-incision transaxillary access before docking the da Vinci robot. APS of the ipsilateral nerve has been conducted without complications.ConclusionAPS of the ipsilateral vagus is feasible and safe during transaxillary robotic thyroidectomy, and may contribute to prevent impending thermal injury to the RLN. (c) 2015 Wiley Periodicals, Inc. Head Neck 38: 482-485, 2016