ArticleSurgical endoscopy2019
Lateral thermal spread induced by energy devices: a porcine model to evaluate the influence on the recurrent laryngeal nerve.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Article
- Optimizing the dissection of small-diameter pulmonary vessels using vessel-sealing systems.Scientific reports · 2026Article
- Advances in Minimally Invasive Esophagectomy-An Overview of Recent Developments and a Novel Classification of Innovations in Treatment of Thoracic Esophageal Cancer.Medicina (Kaunas, Lithuania) · 2025Review
- Evaluation of thermal effects of surgical energy devices: ex vivo study.Scientific reports · 2024Article
- The influence of perivascular tissue on lateral thermal expansion during bipolar vessel sealing.Surgery in practice and science · 2023Article
- Endoscopic removal of sinonasal hemangioma using vessel sealing device without tumor embolization.Clinical case reports · 2023Article
- Features and applications of energy devices for prone robot-assisted minimally invasive esophagectomy: a narrative review.Journal of thoracic disease · 2022Review
- Intraoperative nerve monitoring during esophagectomy reduces the risk of recurrent laryngeal nerve palsy.Surgical endoscopy · 2022Article
- Advances and safe use of energy devices in lung cancer surgery.General thoracic and cardiovascular surgery · 2022Review
- Comparative healing of swine skin following incisions with different surgical devices.Annals of translational medicine · 2021Article
- Repeated partial tissue bite with inadequate cooling time for an energy device may cause thermal injury.Surgical endoscopy · 2021Article
- Swine Small Intestine Sealing Performed by Different Vessel Sealing Devices: Ex-Vivo Test.Veterinary sciences · 2021Article
- Improving Voice Outcomes After Thyroid Surgery - Review of Safety Parameters for Using Energy-Based Devices Near the Recurrent Laryngeal Nerve.Frontiers in endocrinology · 2021Review
- Risk factors and therapeutic measures for postoperative complications associated with esophagectomy.Annals of medicine and surgery (2012) · 2020Review
- Steam induced by the activation of energy devices under a wet condition may cause thermal injury.Surgical endoscopy · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecurrent laryngeal nerve (RLN) paralysis is a frequently observed complication after esophagectomy, and thermal injury is considered to be one of the causes. The difference in the lateral thermal spread associated with the grasping range of various energy devices remains unknown.
methodsUltrasonic devices (Harmonic® HD1000i and Sonicision™) and a vessel-sealing device (Ligasure™) were studied. We evaluated the temperature of these devices, the activation time required, and the thermal spread on porcine muscle when the devices were used with different grasping ranges (thermal spread study). In addition, we evaluated the influence of thermal spread by short grasping use of the energy devices on the viability of RLN in a live porcine model (NIM study).
resultsIn the thermal spread study, the temperature of the ultrasonic devices lowered as grasping range increased, whereas the highest temperature of Ligasure was observed when used with two-thirds grasping. The activation time of ultrasonic devices became longer as grasping range increased, whereas the grasping range did not influence the activation time of Ligasure. Thermal spreads 1 mm from the energy devices were unaffected by the grasping ranges. Although the temperature of the Ligasure was lower than that of the ultrasonic devices, thermal spread by Ligasure was significantly greater than that induced by the ultrasonic devices. In the NIM study, the activation of the Sonicision with one-third grasping range did not cause EMG changes at distances of up to 1 mm from the RLN, whereas applying Ligasure with a one-third grasping range 1 mm away from the RLN led to a critical result.
conclusionsThe grasping range did not influence the thermal spread induced by the energy devices. Ultrasonic devices may be safer in terms of lateral thermal spread to the RLN than Ligasure.
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