Abstract：
BACKGROUND:The ipsilateral nipple has been used as a directional guide for needle advance during internal jugular vein (IJV) catheterization. We attempted to validate the utility of the ipsilateral nipple during IJV catheterization. METHODS:One hundred and two patients scheduled for elective surgery were enrolled. In the 15° Trendelenberg position with 30° head rotation, the apex of the triangle formed by the sternocleidomastoid muscle and the clavicle was identified. The angle formed by the line connecting the apex and the ipsilateral nipple and the actual course of the IJV was measured. The distance between the apex of the anatomical triangle and the IJV center identified were measured via ultrasound. RESULTS:The angle formed by the line connecting the apex and the ipsilateral nipple and the IJV was 16 ± 7.6° and was greater in females than males (14.8 ± 1.1 vs 17.4 ± 1.0°, P = 0.043). Regression analysis showed that height, weight, gender, and age did not affect the angle as an independent factor. The apex of the anatomical triangle was 0.5 cm medial to the IJV center and was shorter in females compared to males (0.33 ± 0.12 vs 0.6 ± 0.09 cm, P = 0.039). CONCLUSION:Our study shows that when the needle is inserted at the apex of the anatomical triangle directed towards the ipsilateral nipple, it crosses the IJV at 16°. Since the common carotid artery is usually medial to the IJV, directing the needle towards the ipsilateral nipple seems to be a safe way to avoid the common carotid artery and successfully puncture the IJV.
journal_name
Asian J Surgjournal_title
Asian journal of surgeryauthors
Ahn S,Ryu HG,Koo CH,Choi S,Lee JH,Jang IKdoi
10.1016/j.asjsur.2018.04.003subject
Has Abstractpub_date
2019-01-01 00:00:00pages
362-366issue
1eissn
1015-9584issn
0219-3108pii
S1015-9584(18)30118-0journal_volume
42pub_type
杂志文章abstract：BACKGROUND:Robotic surgery is the most advanced minimally invasive technique for the treatment of complicated solid pseudopapillary tumors (SPT). The aim of this study is to evaluate feasibility of robotic surgery for the treatment of SPTs in the pancreatic head. METHODS:A retrospective analysis of the clinical data o...
journal_title：Asian journal of surgery
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更新日期：2020-01-01 00:00:00
abstract：BACKGROUND/OBJECTIVE:A preoperative reliable classification system between clinical and computed tomography (CT) findings to better plan surgery in acute complicated diverticulitis (ACD) is lacking. We studied the inter-observer agreement of CT scan data and their concordance with the preoperative clinical findings and...
journal_title：Asian journal of surgery
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更新日期：2020-03-01 00:00:00
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journal_title：Asian journal of surgery
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更新日期：2018-07-01 00:00:00
abstract：:Although true hermaphrodite is uncommon, it has been reported in more than 400 individuals. Tumours arising in the gonads of true hermaphrodite is a very rare finding and only very few cases have been reported in the literature. We report a case of a 35-year-old phenotype man with bilateral undescended testis with lum...
journal_title：Asian journal of surgery
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更新日期：2007-01-01 00:00:00
abstract：PURPOSE:Sentinel lymph node biopsy (SLNB) has been rapidly adopted by surgical oncologists in the management of invasive breast cancer. This study reviews the Royal Australasian College of Surgeons (RACS) Sentinel Node versus Axillary Clearance (SNAC) trial and reports an interim analysis of the first 150 subjects. Oth...
journal_title：Asian journal of surgery
pub_type： 临床试验,杂志文章,多中心研究,随机对照试验
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更新日期：2004-10-01 00:00:00
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更新日期：2007-04-01 00:00:00
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journal_title：Asian journal of surgery
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journal_title：Asian journal of surgery
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更新日期：2002-01-01 00:00:00
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journal_title：Asian journal of surgery
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更新日期：2013-04-01 00:00:00
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journal_title：Asian journal of surgery
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更新日期：2011-10-01 00:00:00
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更新日期：2020-01-01 00:00:00
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journal_title：Asian journal of surgery
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更新日期：2004-07-01 00:00:00
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更新日期：2002-07-01 00:00:00
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更新日期：2015-01-01 00:00:00
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journal_title：Asian journal of surgery
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更新日期：2016-10-01 00:00:00
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更新日期：2014-04-01 00:00:00
abstract：BACKGROUND:5-Aminolevulinic Acid (5-ALA) induced fluorescence is useful in guiding glioma resection. The extent of 5-ALA accumulation is beyond gadolinium contrast enhancement.1,2 Supratotal resection may be achieved, potentially granting patients with better survival. We present our experience on 5-ALA guided glioma r...
journal_title：Asian journal of surgery
pub_type： 杂志文章
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更新日期：2018-09-01 00:00:00
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journal_title：Asian journal of surgery
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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journal_title：Asian journal of surgery
pub_type： 杂志文章
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更新日期：2018-07-01 00:00:00
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journal_title：Asian journal of surgery
pub_type： 杂志文章
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更新日期：2019-01-01 00:00:00
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journal_title：Asian journal of surgery
pub_type： 杂志文章
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更新日期：2005-04-01 00:00:00
