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Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.

Identifieur interne : 006017 ( Ncbi/Merge ); précédent : 006016; suivant : 006018

Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.

Auteurs : Giancarlo Tirelli [Italie] ; Giulia Carolina Del Piero [Italie] ; Fiorella Perrino [Italie]

Source :

RBID : pubmed:24289871

Descripteurs français

English descriptors

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:24289871

Le document en format XML

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<title xml:lang="en">Ultracision Harmonic Scalpel in oral and oropharyngeal cancer resection.</title>
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<name sortKey="Tirelli, Giancarlo" sort="Tirelli, Giancarlo" uniqKey="Tirelli G" first="Giancarlo" last="Tirelli">Giancarlo Tirelli</name>
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<nlm:affiliation>University of Trieste, Italy. Electronic address: tirelli.giancarlo@gmail.com.</nlm:affiliation>
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<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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<name sortKey="Perrino, Fiorella" sort="Perrino, Fiorella" uniqKey="Perrino F" first="Fiorella" last="Perrino">Fiorella Perrino</name>
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<term>Blood Loss, Surgical</term>
<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>
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<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>
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<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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<term>Lymphedema</term>
<term>Pain, Postoperative</term>
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<term>Glossectomy</term>
<term>Neck Dissection</term>
<term>Tonsillectomy</term>
<term>Ultrasonic Surgical Procedures</term>
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<term>Glossectomy</term>
<term>Hemostasis, Surgical</term>
<term>Neck Dissection</term>
<term>Tonsillectomy</term>
<term>Ultrasonic Surgical Procedures</term>
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<term>Neck</term>
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<term>Cheek</term>
<term>Mouth Neoplasms</term>
<term>Oropharyngeal Neoplasms</term>
<term>Palate, Soft</term>
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<term>Glossectomie</term>
<term>Lymphoedème</term>
<term>Procédures de chirurgie par ultrasons</term>
<term>Évidement ganglionnaire cervical</term>
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<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>
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<term>Amygdalectomie</term>
<term>Complications postopératoires</term>
<term>Drainage</term>
<term>Durée opératoire</term>
<term>Glossectomie</term>
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<term>Études prospectives</term>
<term>Évaluation des risques</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>
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<DateCreated>
<Year>2014</Year>
<Month>06</Month>
<Day>19</Day>
</DateCreated>
<DateCompleted>
<Year>2015</Year>
<Month>07</Month>
<Day>06</Day>
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<Month>06</Month>
<Day>19</Day>
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<Volume>42</Volume>
<Issue>5</Issue>
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<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>
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<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>
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<ForeName>Giulia Carolina</ForeName>
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<Affiliation>University of Trieste, Italy.</Affiliation>
</AffiliationInfo>
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<Country>Scotland</Country>
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<DescriptorName UI="D016063" MajorTopicYN="N">Blood Loss, Surgical</DescriptorName>
</MeshHeading>
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<QualifierName UI="Q000601" MajorTopicYN="N">surgery</QualifierName>
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<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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