Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.
Identifieur interne : 006017 ( Ncbi/Merge ); précédent : 006016; suivant : 006018Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.
Auteurs : Giancarlo Tirelli [Italie] ; Giulia Carolina Del Piero [Italie] ; Fiorella Perrino [Italie]Source :
- Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery [ 1878-4119 ] ; 2014.
Descripteurs français
- KwdFr :
- Amygdalectomie (), Amygdalectomie (instrumentation), Complications postopératoires, Cou (anatomopathologie), Douleur postopératoire (étiologie), Drainage, Durée opératoire, Glossectomie (), Glossectomie (instrumentation), Humains, Hémostase chirurgicale (), Joue (), Lymphoedème (étiologie), Palais mou (), Perte sanguine peropératoire, Procédures de chirurgie par ultrasons (), Procédures de chirurgie par ultrasons (instrumentation), Tumeurs de l'oropharynx (), Tumeurs de la bouche (), Études prospectives, Évaluation des risques, Évidement ganglionnaire cervical (), Évidement ganglionnaire cervical (instrumentation).
- MESH :
- anatomopathologie : Cou.
- étiologie : Amygdalectomie, Douleur postopératoire, Glossectomie, Lymphoedème, Procédures de chirurgie par ultrasons, Évidement ganglionnaire cervical.
- Amygdalectomie, Complications postopératoires, Drainage, Durée opératoire, Glossectomie, Humains, Hémostase chirurgicale, Joue, Palais mou, Perte sanguine peropératoire, Procédures de chirurgie par ultrasons, Tumeurs de l'oropharynx, Tumeurs de la bouche, Études prospectives, Évaluation des risques, Évidement ganglionnaire cervical.
English descriptors
- KwdEn :
- Blood Loss, Surgical, Cheek (surgery), Drainage, Glossectomy (instrumentation), Glossectomy (methods), Hemostasis, Surgical (methods), Humans, Lymphedema (etiology), Mouth Neoplasms (surgery), Neck (pathology), Neck Dissection (instrumentation), Neck Dissection (methods), Operative Time, Oropharyngeal Neoplasms (surgery), Pain, Postoperative (etiology), Palate, Soft (surgery), Postoperative Complications, Prospective Studies, Risk Assessment, Tonsillectomy (instrumentation), Tonsillectomy (methods), Ultrasonic Surgical Procedures (instrumentation), Ultrasonic Surgical Procedures (methods).
- MESH :
- etiology : Lymphedema, Pain, Postoperative.
- instrumentation : Glossectomy, Neck Dissection, Tonsillectomy, Ultrasonic Surgical Procedures.
- methods : Glossectomy, Hemostasis, Surgical, Neck Dissection, Tonsillectomy, Ultrasonic Surgical Procedures.
- pathology : Neck.
- surgery : Cheek, Mouth Neoplasms, Oropharyngeal Neoplasms, Palate, Soft.
- Blood Loss, Surgical, Drainage, Humans, Operative Time, Postoperative Complications, Prospective Studies, Risk Assessment.
Abstract
The aim of this prospective study was to evaluate the benefits and risks when using an Ultracision Harmonic Scalpel in the surgical treatment of oral and oropharyngeal carcinomas.
DOI: 10.1016/j.jcms.2013.07.024
PubMed: 24289871
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pubmed:24289871Le document en format XML
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<author><name sortKey="Tirelli, Giancarlo" sort="Tirelli, Giancarlo" uniqKey="Tirelli G" first="Giancarlo" last="Tirelli">Giancarlo Tirelli</name>
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<author><name sortKey="Del Piero, Giulia Carolina" sort="Del Piero, Giulia Carolina" uniqKey="Del Piero G" first="Giulia Carolina" last="Del Piero">Giulia Carolina Del Piero</name>
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<term>Cheek (surgery)</term>
<term>Drainage</term>
<term>Glossectomy (instrumentation)</term>
<term>Glossectomy (methods)</term>
<term>Hemostasis, Surgical (methods)</term>
<term>Humans</term>
<term>Lymphedema (etiology)</term>
<term>Mouth Neoplasms (surgery)</term>
<term>Neck (pathology)</term>
<term>Neck Dissection (instrumentation)</term>
<term>Neck Dissection (methods)</term>
<term>Operative Time</term>
<term>Oropharyngeal Neoplasms (surgery)</term>
<term>Pain, Postoperative (etiology)</term>
<term>Palate, Soft (surgery)</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
<term>Tonsillectomy (instrumentation)</term>
<term>Tonsillectomy (methods)</term>
<term>Ultrasonic Surgical Procedures (instrumentation)</term>
<term>Ultrasonic Surgical Procedures (methods)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Amygdalectomie ()</term>
<term>Amygdalectomie (instrumentation)</term>
<term>Complications postopératoires</term>
<term>Cou (anatomopathologie)</term>
<term>Douleur postopératoire (étiologie)</term>
<term>Drainage</term>
<term>Durée opératoire</term>
<term>Glossectomie ()</term>
<term>Glossectomie (instrumentation)</term>
<term>Humains</term>
<term>Hémostase chirurgicale ()</term>
<term>Joue ()</term>
<term>Lymphoedème (étiologie)</term>
<term>Palais mou ()</term>
<term>Perte sanguine peropératoire</term>
<term>Procédures de chirurgie par ultrasons ()</term>
<term>Procédures de chirurgie par ultrasons (instrumentation)</term>
<term>Tumeurs de l'oropharynx ()</term>
<term>Tumeurs de la bouche ()</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
<term>Évidement ganglionnaire cervical ()</term>
<term>Évidement ganglionnaire cervical (instrumentation)</term>
</keywords>
<keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Cou</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
<term>Pain, Postoperative</term>
</keywords>
<keywords scheme="MESH" qualifier="instrumentation" xml:lang="en"><term>Glossectomy</term>
<term>Neck Dissection</term>
<term>Tonsillectomy</term>
<term>Ultrasonic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Glossectomy</term>
<term>Hemostasis, Surgical</term>
<term>Neck Dissection</term>
<term>Tonsillectomy</term>
<term>Ultrasonic Surgical Procedures</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Neck</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Cheek</term>
<term>Mouth Neoplasms</term>
<term>Oropharyngeal Neoplasms</term>
<term>Palate, Soft</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Amygdalectomie</term>
<term>Douleur postopératoire</term>
<term>Glossectomie</term>
<term>Lymphoedème</term>
<term>Procédures de chirurgie par ultrasons</term>
<term>Évidement ganglionnaire cervical</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Blood Loss, Surgical</term>
<term>Drainage</term>
<term>Humans</term>
<term>Operative Time</term>
<term>Postoperative Complications</term>
<term>Prospective Studies</term>
<term>Risk Assessment</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Amygdalectomie</term>
<term>Complications postopératoires</term>
<term>Drainage</term>
<term>Durée opératoire</term>
<term>Glossectomie</term>
<term>Humains</term>
<term>Hémostase chirurgicale</term>
<term>Joue</term>
<term>Palais mou</term>
<term>Perte sanguine peropératoire</term>
<term>Procédures de chirurgie par ultrasons</term>
<term>Tumeurs de l'oropharynx</term>
<term>Tumeurs de la bouche</term>
<term>Études prospectives</term>
<term>Évaluation des risques</term>
<term>Évidement ganglionnaire cervical</term>
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<front><div type="abstract" xml:lang="en">The aim of this prospective study was to evaluate the benefits and risks when using an Ultracision Harmonic Scalpel in the surgical treatment of oral and oropharyngeal carcinomas.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24289871</PMID>
<DateCreated><Year>2014</Year>
<Month>06</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>07</Month>
<Day>06</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>06</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1878-4119</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>42</Volume>
<Issue>5</Issue>
<PubDate><Year>2014</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial Surgery</Title>
<ISOAbbreviation>J Craniomaxillofac Surg</ISOAbbreviation>
</Journal>
<ArticleTitle>Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.</ArticleTitle>
<Pagination><MedlinePgn>544-7</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.jcms.2013.07.024</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S1010-5182(13)00222-9</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">The aim of this prospective study was to evaluate the benefits and risks when using an Ultracision Harmonic Scalpel in the surgical treatment of oral and oropharyngeal carcinomas.</AbstractText>
<AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Prospective non-randomized.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Clinica Otorinolaringoiatrica, Azienda Ospedaliero-Universitaria. Trieste, Italy.</AbstractText>
<AbstractText Label="SUBJECTS AND METHODS" NlmCategory="METHODS">In this study, conducted from April 2008 to August 2010, 36 consecutive patients underwent resection of oral or oropharyngeal carcinoma and lateral lymphadenectomy using the Ultracision Harmonic Scalpel. Evaluation criteria included length of the surgical procedure, intraoperative blood loss, quantity of neck drainage on the first, second and third postoperative days, postoperative complications, and a subjective assessment of postoperative pain and lymphatic oedema of the neck. Results were compared with previous surgical procedures carried out between May 2006 and March 2008 using cold knife and bipolar haemostasis (n = 36) when the Harmonic Scalpel was not available.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In patients treated with the Harmonic Scalpel, operating time was significantly reduced, both for resection of the carcinoma and the lateral lymphadenectomy. Intraoperative blood loss and neck drainage on the first and second postoperative days were significantly less and pain scores were significantly lower than in the cold knife group. No postoperative complications were noted in the Harmonic Scalpel group. The only disadvantage noted in the Harmonic Scalpel group was the high incidence of lymphatic oedema of the neck.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Use of the Harmonic Scalpel during resection of oral cancer and lateral lymphadenectomy is safe and confers some advantages over conventional methods.</AbstractText>
<CopyrightInformation>Copyright © 2013 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tirelli</LastName>
<ForeName>Giancarlo</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>University of Trieste, Italy. Electronic address: tirelli.giancarlo@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Del Piero</LastName>
<ForeName>Giulia Carolina</ForeName>
<Initials>GC</Initials>
<AffiliationInfo><Affiliation>University of Trieste, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Perrino</LastName>
<ForeName>Fiorella</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>University of Trieste, Italy.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D003160">Comparative Study</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
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<ArticleDate DateType="Electronic"><Year>2013</Year>
<Month>09</Month>
<Day>10</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>Scotland</Country>
<MedlineTA>J Craniomaxillofac Surg</MedlineTA>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D016063" MajorTopicYN="N">Blood Loss, Surgical</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002610" MajorTopicYN="N">Cheek</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004322" MajorTopicYN="N">Drainage</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005927" MajorTopicYN="N">Glossectomy</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006488" MajorTopicYN="N">Hemostasis, Surgical</DescriptorName>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<MeshHeading><DescriptorName UI="D009062" MajorTopicYN="N">Mouth Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009333" MajorTopicYN="N">Neck</DescriptorName>
<QualifierName UI="Q000473" MajorTopicYN="N">pathology</QualifierName>
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<MeshHeading><DescriptorName UI="D037981" MajorTopicYN="N">Neck Dissection</DescriptorName>
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<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D061646" MajorTopicYN="N">Operative Time</DescriptorName>
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<MeshHeading><DescriptorName UI="D009959" MajorTopicYN="N">Oropharyngeal Neoplasms</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="Y">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D010149" MajorTopicYN="N">Pain, Postoperative</DescriptorName>
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<MeshHeading><DescriptorName UI="D010160" MajorTopicYN="N">Palate, Soft</DescriptorName>
<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<MeshHeading><DescriptorName UI="D011183" MajorTopicYN="N">Postoperative Complications</DescriptorName>
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<MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName>
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<MeshHeading><DescriptorName UI="D014068" MajorTopicYN="N">Tonsillectomy</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D059708" MajorTopicYN="N">Ultrasonic Surgical Procedures</DescriptorName>
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</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Neck dissection</Keyword>
<Keyword MajorTopicYN="N">Oral carcinoma</Keyword>
<Keyword MajorTopicYN="N">Oropharyngeal carcinoma</Keyword>
<Keyword MajorTopicYN="N">Ultracision Harmonic Scalpel</Keyword>
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