Abstract：Objective To investigate the efficacy and applicability of Focus harmonic scalpel (HS) in hypopharyngeal carcinoma with neck dissection.Methods Clinical data of 59 patients underwent hypopharyngeal carcinoma from Jan. 2009 to Dec. 2013 in the same operation group were analyzed retrospectively. Among which, 26 patients (HS group) were performed by the HS; the other 33 patietns(traditional group) were treated by electrotome and conventional knot tying. The following variables were examined: operation time, intraoperative bleeding, the number of removed cervical lymph nodes (LNs), postoperative drainage 24 h after operation, postoperative hospitalized time and surgical complications.Results It showed significant difference between the HS group and the traditional group in the operation time[(193.69±43.16)min vs (303.27±26.24)min ], intraoperative bleeding[(82.85±14.04)mL vs (132.85±10.83)mL], postoperative drainage 24 h after operation[(54.46±8.17)mL vs (94.82±13.04)mL], and postoperative hospitalized time((15.00±5.70)d vs (22.79±12.45)d, t=11.393、15.454、14.522、3.193, all P values＜0.05). No statistically significant difference was observed in the number of removed LNs and surgical complications between the two groups(all P values＞0.05).Conlusions The Focus HS is a relatively safe and effective alternative method in hypopharyngeal carcinoma with neck dissection. Its application can be promoted clinically.
姚遥, 刘业海, 吴开乐, 高朝兵, 赵益, 李培培, 吴静, 李亦凡, 王杨. Focus超声刀在下咽癌及颈淋巴结清扫术中的临床应用价值[J]. 中华解剖与临床杂志, 2015, 20(2): 123-126.
Yao Yao, Liu Yehai, Wu Kaile, Gao Chaobing, Zhao Yi, Li Peipei, Wu Jing, Li Yifan, Wang Yang. Clinical application of Focus harmonic scalpel in hypopharyngeal carcinoma with neck dissection. Chinese Journal of Anatomy and Clinics, 2015, 20(2): 123-126.
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2015, Vol. 20 
