Stimulating and dissecting instrument for transoral endoscopic thyroidectomy: proof of concept investigation.
Daqi ZhangShijie LiGianlorenzo DionigiJiao ZhangTie WangYishen ZhaoGaofeng XueHui SunPublished in: Surgical endoscopy (2019)
The application of endoscopic stimulating dissector is simple, effective and safe way to monitor both VN and RLN function during a TOETVA animal model. It provides surgeons with real-time feedback of EMG response and can be applied as a tool for RLN monitoring. Endoscopic instrument required higher current to evoke EMG response compared to hand probe stimulation. Tip-end required less current to evoke EMG response compared to tip-lateral mode of stimulation.