Endoscopic resection of tracheal lobular capillary haemangioma with ultrasonically activated device

被引:2
作者
Fiorelli, Alfonso [1 ]
Accardo, Marina [2 ]
Venetucci, Pietro [3 ]
Cascone, Roberto [1 ]
Carlucci, Annalisa [1 ]
Noro, Antonio [1 ]
Ferrara, Vincenzo [1 ]
Natale, Giovanni [1 ]
Napolitano, Vincenzo [4 ]
Santini, Mario [1 ]
机构
[1] Univ Campania Luigi Vanvitelli, Div Thorac Surg, Piazza Miraglia 2, I-80138 Naples, Italy
[2] Univ Campania Luigi Vanvitelli, Pathol Unit, Caserta, Italy
[3] Univ Naples Federico II, Intervent Radiol Unit, Naples, Italy
[4] Univ Campania Luigi Vanvitelli, Endoscopy Unit, Caserta, Italy
关键词
Lobular capillary haemangioma; Trachea; Harmonic (TM) ultracision; Endoscopic resection; Interventional radiology; PYOGENIC GRANULOMA;
D O I
10.1007/s11748-020-01451-x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We reported the case of a 55-year-old man with a large tracheal lobular capillary haemangioma attached to posterior tracheal wall and successfully managed with arterial embolization followed by endoscopic resection using Harmonic (TM) ACE Plus. Because of the high risk of bleeding, Harmonic (TM) was used in this case due to its ability to cut and cauterize simultaneously. The instrument jaw repeatedly grasped the attachment point of tumor, and then the cavitation effect, created by the longitudinal vibration of the blade tip, separated it from the posterior tracheal wall, reducing the risk of perforation. Yet, the ultrasonic energy denatured proteins and coagulated the vessels, preventing the bleeding during resection. No complications occurred during and after the procedure. Twelve-month follow-up showed no recurrence.
引用
收藏
页码:379 / 382
页数:4
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