2000
DOI: 10.1067/msy.2000.110238
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Endoscopic endocrine neck surgery with carbon dioxide insufflation: The effect on intracranial pressure in a large animal model

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Cited by 53 publications
(56 citation statements)
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“…1,2 Bellantone and Rubinos, 1,3 animal experiment proved that low pressure (<10 mmHg) of CO 2 insufflation in the anterior neck region had no obvious negative effect on circulation and blood-flow dynamics. Recently, the generally recommended insufflation pressure is 4-6 mmHg, it can absolutely provide an ideal operative space for the surgeons.…”
Section: Discussionmentioning
confidence: 99%
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“…1,2 Bellantone and Rubinos, 1,3 animal experiment proved that low pressure (<10 mmHg) of CO 2 insufflation in the anterior neck region had no obvious negative effect on circulation and blood-flow dynamics. Recently, the generally recommended insufflation pressure is 4-6 mmHg, it can absolutely provide an ideal operative space for the surgeons.…”
Section: Discussionmentioning
confidence: 99%
“…Our research showed only TCO 2 and PCO 2 increased statistically during insufflation, but came back to baseline value right after desufflation. TCO 2 consists of two parts, one is HCO 3 -, (occupies 95% of the consistence of TCO 2 ) and the other is soluble CO 2 . The unchanged THCO 3 -explains the increase of soluble CO 2 .…”
Section: Discussionmentioning
confidence: 99%
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“…Additionally, early investigations in animals were complicated by injuries to neurovascular structures, pneumothorax, and increased pressure on the jugular vein and carotid sinus [1,39,40]. Terris et al developed a hybridized technique utilizing balloon dissection to first create an operative pocket and low pressure CO 2 to insufflate and maintain the pocket.…”
Section: Submandibular Gland Resectionmentioning
confidence: 99%
“…The transaxillary gasless robotic approach offers several advantages such as a clear magnified, three-dimensional view of the surgical field along with precise, wristed hand motions via a hand tremor filtering system [2,4,5]. The gasless method eliminates the risk of CO 2 insufflation-related complications [3,6,7]. However, the most important advantage to the patient is allaying the psychological discomfort of a neck scar by placing the incision in the anterior axillary fold [2,8,9].…”
Section: Introductionmentioning
confidence: 99%