Novel use of Continuous Vagus Stimulation in a Robotic Transaxillary Thyroidectomy
on to recognize early stretch. Initial stimulation of the Vag us nerve revealed evidence amplitude of 455uV an d latency 4.6msec. After dissection of the carotid, the Vagus nerve was identified and circumferentially dissected. Then, An Autonomous Periodic Stimulation (APS) electrode was placed on it for continuous stimulation. A good signal was recorded (amplitude 450uV, latency of 4.6msec). Final stimulation of the Vagu s showed Amplitude: 403uV, latency: 4.6msec final stimulation of the recurrent nerve showed amplitude: 361uV and latency: 1.2msec.
IC2 – ATA Guidelines on Surgical Management of Thyroid Cancer: Thyroid and nodes
- Victor Bernet
- Richard Payne
- David Steward