Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
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Thunderbeat versus Harmonic scalpel in surgery of benign disease in salivary gland

양성침샘질환 수술에서 ThunderbeatTM와 Harmonic scalpel®의 유용성에 대한 비교연구

  • Lee, Hyoung Shin (Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine) ;
  • Kim, Sung Won (Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine) ;
  • Lee, Kang Dae (Department of Otolaryngology-Head and Neck Surgery, Kosin University College of Medicine) ;
  • Oh, Dasol (Department of Medicine, Kosin University College of Medicine) ;
  • Kim, Ju Hyun (Department of Otolaryngology-Head and Neck Surgery, Konyang University College of Medicine) ;
  • Koh, Yoon Woo (Department of Otolaryngology-Head and Neck Surgery, Yonsei University College of Medicine) ;
  • Choi, Eun Chang (Department of Otolaryngology-Head and Neck Surgery, Yonsei University College of Medicine)
  • 이형신 (고신대학교 의과대학 이비인후과학교실) ;
  • 김성원 (고신대학교 의과대학 이비인후과학교실) ;
  • 이강대 (고신대학교 의과대학 이비인후과학교실) ;
  • 오다솔 (고신대학교 의과대학 의학과) ;
  • 김주현 (건양대학교 의과대학 이비인후과학교실) ;
  • 고윤우 (연세대학교 의과대학 이비인후과학교실) ;
  • 최은창 (연세대학교 의과대학 이비인후과학교실)
  • Received : 2018.04.09
  • Accepted : 2018.05.08
  • Published : 2018.05.30
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Abstract

Background and Objectives: Thunderbeat (TB) and Harmonic scalpel (HS) have been applied to variable head and neck surgery, which are useful for both coagulation and cutting of tissues. However, there have been no comparative studies covering the usefulness of these energy devices in surgery for major salivary gland. In this study, we analyzed the surgical outcomes of two devices in surgery for parotidectomy and submandibular gland (SMG) resection. Materials and Methods: A retrospective chart review of 90 patients including two groups (HS group, n=45 versus TB group, n=45) of patients matched for their patient factors was conducted. Clinicopathologic factors of the patients and surgical outcomes such as the operation time, intraoperative bleeding, amount and duration of drain, hospital stay and complications were compared between two groups. Results: There were no significant difference between two groups regarding the clinicopathologic factors and short-term surgical outcomes. Conclusion: Thunderbeat and HS are both effective and safe for parotidectomy and SMG resection in variable benign disease of major salivary gland.

Keywords

References

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