Carreira L Miguel, Alexandre-Pires Graça, Azevedo Pedro
Anjos of Assis Veterinary Medicine Centre-CMVAA, 2830-077 Barreiro, Portugal.
Faculty of Veterinary Medicine, University of Lisbon (FMV/ULisboa), 1300-477 Lisboa, Portugal.
Animals (Basel). 2024 Jun 8;14(12):1733. doi: 10.3390/ani14121733.
We aimed to compare surgical time, bleeding level, patient pain level, healing period, scar tissue, relapse of the initial process and complications in patients with nasopharyngeal oncological masses undergoing surgery using a scalpel blade versus a CO surgical laser. This is a clinical prospective study comprising surgical work in the nasopharynx area. A sample of 12 inpatients dogs (N = 12) of both genders underwent a surgical excision of nasopharyngeal masses with a scalpel blade (GS = 6) and CO surgical laser (GL = 6). An Aesculigth CO surgical laser-Vetscalpel model with a superpulse mode, 12 W of power, and a multi-focus pen was used. Statistically significant differences were registered for a -value of < 0.05. Variations were noted between both groups (GS and GL) concerning surgery time ( = 0.038), first meal time ( = 0.013), pain level ( 0.003), and healing time ( 0.014), with the GL group presenting lower values. GL exhibited only one relapse case, with the elapsed time being more than double that of the GS group. Surgical and healing times were shorter in the GL group, and pain levels were lower, with the GL group also demonstrating less scar tissue than the GS group, along with a lower relapse rate. Nasopharynx surgical exposure with precision via the soft palate using the CO laser has facilitated successful treatment of regional masses without discomfort and complications, compared to conventional blade scalpel procedures.
我们旨在比较使用手术刀刀片与CO手术激光对患有鼻咽肿瘤性肿块的患者进行手术时的手术时间、出血程度、患者疼痛程度、愈合期、瘢痕组织、初始病情复发情况及并发症。这是一项包括鼻咽区域手术操作的临床前瞻性研究。选取12只住院犬(N = 12)作为样本,雌雄不限,其中6只使用手术刀刀片(GS = 6),6只使用CO手术激光(GL = 6)进行鼻咽肿块切除手术。使用的是具有超脉冲模式、12瓦功率和多焦点笔的Aesculigth CO手术激光 - Vetscalpel型号。当P值< 0.05时记录到具有统计学意义的差异。两组(GS和GL)在手术时间(P = 0.038)、首次进食时间(P = 0.013)、疼痛程度(P = 0.003)和愈合时间(P = 0.014)方面存在差异,GL组的值较低。GL组仅出现1例复发病例,其间隔时间是GS组的两倍多。GL组的手术和愈合时间更短,疼痛程度更低,GL组的瘢痕组织也比GS组少,复发率更低。与传统刀片手术刀手术相比,使用CO激光通过软腭精确暴露鼻咽进行手术,有助于成功治疗局部肿块,且无不适和并发症。