Removal of Hazardous Surgical Smoke Using a Built-in-Filter Trocar: A Study in Laparoscopic Rectal Resection
DC Field | Value | Language |
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dc.contributor.author | Hahn, Koo Yong | - |
dc.contributor.author | Kang, Dong Woo | - |
dc.contributor.author | Azman, Zairul Azwan Mohd | - |
dc.contributor.author | Kim, Se-Young | - |
dc.contributor.author | Kim, Seon-Hahn | - |
dc.date.accessioned | 2021-09-03T00:45:17Z | - |
dc.date.available | 2021-09-03T00:45:17Z | - |
dc.date.created | 2021-06-19 | - |
dc.date.issued | 2017-10 | - |
dc.identifier.issn | 1530-4515 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/82030 | - |
dc.description.abstract | Background: Surgical smoke containing potentially carcinogenic and harmful materials is an inevitable consequence of surgical energy devices, and constitutes a substantial occupational hazard in the operating room. This study aimed to evaluate the efficacy of a built-in-filter trocar in eliminating hazardous surgical smoke during laparoscopic and robotic rectal surgery. Methods: Ten patients who underwent rectal cancer resection were enrolled. Five patients underwent surgery utilizing a nonfiltered trocar, and the remaining 5 utilized a built-in-filter trocar. Gas samples were aspirated from the peritoneal cavity over 30 minutes of electrocauterization and collected in a Tedlar bag. Concentrations of surgical smoke were measured using ultraperformance liquid chromatography and gas chromatography. Results: Eleven hazardous chemical compounds (benzene, toluene, ethylbenzene, xylene, styrene, formaldehyde, acetaldehyde, propionaldehyde, butyraldehyde, isovaleraldehyde, and valeraldehyde) were identified in the surgical smoke. With the built-in-filter trocar, removal rates of 69% for benzene (P=0.028), 72% for toluene (P=0.009), 67% for butyraldehyde (P=0.047), 46% for ethylbenzene (P=0.092), 44% for xylene (P=0.086), 35% for styrene (P=0.106), 39% for formaldehyde (P=0.346), and 33% for propionaldehyde (P=0.316) were achieved. Conclusions: This study confirmed the presence of harmful materials in surgical smoke. Evacuation of surgical smoke through a disposable built-in-filter trocar is a simple and effective way in reducing volatile organic compounds concentrations. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | LIPPINCOTT WILLIAMS & WILKINS | - |
dc.subject | CHEMICAL-COMPOSITION | - |
dc.subject | EVACUATION | - |
dc.subject | SURGERY | - |
dc.title | Removal of Hazardous Surgical Smoke Using a Built-in-Filter Trocar: A Study in Laparoscopic Rectal Resection | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Kim, Seon-Hahn | - |
dc.identifier.scopusid | 2-s2.0-85030986653 | - |
dc.identifier.wosid | 000418190500011 | - |
dc.identifier.bibliographicCitation | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, v.27, no.5, pp.341 - 345 | - |
dc.relation.isPartOf | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | - |
dc.citation.title | SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | - |
dc.citation.volume | 27 | - |
dc.citation.number | 5 | - |
dc.citation.startPage | 341 | - |
dc.citation.endPage | 345 | - |
dc.type.rims | ART | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Surgery | - |
dc.relation.journalWebOfScienceCategory | Surgery | - |
dc.subject.keywordPlus | CHEMICAL-COMPOSITION | - |
dc.subject.keywordPlus | EVACUATION | - |
dc.subject.keywordPlus | SURGERY | - |
dc.subject.keywordAuthor | smoke | - |
dc.subject.keywordAuthor | laparoscopy | - |
dc.subject.keywordAuthor | micropore filter | - |
dc.subject.keywordAuthor | trocar | - |
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