Minimally invasive surgery in the neck dissection in the application of pre-clinical evaluation of.docVIP

 PAGE \* MERGEFORMAT 11 Minimally invasive surgery in the neck dissection in the application of pre-clinical evaluation of Author: Yi Hui-ming state spectrometer Zhao Yun Bai Dian-Qing Chen Xu Zhi-Bin WEI Xin Gong Fu Zhi-long election 【Abstract】 Objective in animal experiments to explore minimally invasive surgery in the neck dissection surgery is feasible. Select 12 after immunization of healthy adult dog, a 3% sodium pentobarbital (30mg/kg) the purposes of intravenous anesthesia, in which six to take 30mm-long model of the central lateral neck incision, free neck skin flap, the use two conventional small retractors pull flap, placed in 0 ° endoscope 4mm endoscopic sinus as a light source, in the direct vision or television mediated the implementation of conventional surgical instruments modified radical neck dissection plus submandibular gland, thyroid, and half of the thyroid cartilage resection; another six to take a long oblique incision lateral neck 100mm implementation of modified radical neck dissection plus submandibular gland, thyroid, and half of the thyroid cartilage resection. Results (1) time-consuming technique of small incision group (100 ± 20) min, blood loss volume (50 ± 30) ml, experimental dogs after (2 ± 0.5) days of free eating and freedom of movement after operation (7 ± 1) days of wound healing removal of stitches, surgery (10 ± 2) days of basic resume preoperative body weight. (2) The large incision surgery and time-consuming (80 ± 20) min, blood loss volume (30 ± 20) ml, after the dog experiment (3 ± 0.5) days of free eating and freedom of movement after operation (8 ± 1) days of wound healing removal of stitches, surgery (13 ± 4) days of basic resume preoperative body weight. In all experimental dogs no postoperative wound infections, subcutaneous fluid, obviously weight loss, death and other complications occurred. Conclusion on television mediated by conventional endoscopic surgical instruments through a small incision in t