Lateral thermal spread and recurrent laryngeal nerve paralysis after minimally invasive esophagectomy in bipolar vessel sealing and ultrasonic energy devices: a comparative study

Lateral thermal spread and recurrent laryngeal nerve paralysis after minimally invasive... Background This study aimed to compare the extent of lateral thermal spread of surrounding tissues after the use of advanced bipolar and ultrasonic coagulation and shearing devices. Association between recurrent laryngeal nerve paralysis (RLNP) and such devices was assessed in patients who underwent minimally invasive esophagectomy (MIE). ™ ™ Methods LigaSure (LS) and Sonicision (SONIC) were used. In ex vivo experiments using the porcine muscle, blade temperature and tissue temperature were measured using a thermometer after the activation of both devices. For the clinical assessment, 46 consecutive patients who received MIE were retrospectively assessed. Results The temperature generated at the blade of both devices increased with the activation time. The blade temperature of LS was significantly lower than that of SONIC ( P < 0.001). The blade temperature of SONIC exceeded 100 °C after 3-s activation. The temperature of surrounding tissues after a single activation of the devices decreased with the tissue distance from activation blade. The temperatures of tissues at 1 and 2 mm away from the blade side of LS were significantly lower than those of SONIC (P = 0.001 and P < 0.001, respectively). The temperature of tissue 2 mm away from the blade side of LS increased 6.4 °C from http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Esophagus Springer Journals

Lateral thermal spread and recurrent laryngeal nerve paralysis after minimally invasive esophagectomy in bipolar vessel sealing and ultrasonic energy devices: a comparative study

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Publisher
Springer Japan
Copyright
Copyright © 2018 by The Japan Esophageal Society and Springer Japan KK, part of Springer Nature
Subject
Medicine & Public Health; Gastroenterology; Thoracic Surgery; Surgical Oncology
ISSN
1612-9059
eISSN
1612-9067
D.O.I.
10.1007/s10388-018-0621-0
Publisher site
See Article on Publisher Site

Abstract

Background This study aimed to compare the extent of lateral thermal spread of surrounding tissues after the use of advanced bipolar and ultrasonic coagulation and shearing devices. Association between recurrent laryngeal nerve paralysis (RLNP) and such devices was assessed in patients who underwent minimally invasive esophagectomy (MIE). ™ ™ Methods LigaSure (LS) and Sonicision (SONIC) were used. In ex vivo experiments using the porcine muscle, blade temperature and tissue temperature were measured using a thermometer after the activation of both devices. For the clinical assessment, 46 consecutive patients who received MIE were retrospectively assessed. Results The temperature generated at the blade of both devices increased with the activation time. The blade temperature of LS was significantly lower than that of SONIC ( P < 0.001). The blade temperature of SONIC exceeded 100 °C after 3-s activation. The temperature of surrounding tissues after a single activation of the devices decreased with the tissue distance from activation blade. The temperatures of tissues at 1 and 2 mm away from the blade side of LS were significantly lower than those of SONIC (P = 0.001 and P < 0.001, respectively). The temperature of tissue 2 mm away from the blade side of LS increased 6.4 °C from

Journal

EsophagusSpringer Journals

Published: May 31, 2018

References

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