Ligasure Vessel Sealing System versus Harmonic Scalpel for Sutureless Nonanatomical Pulmonary Resections in a Rabbit Model

被引：10

作者：

Cakan, A. ^{[1
]}

Yoldas, B. ^{[1
]}

Samancilar, O. ^{[1
]}

Ertugrul, V. ^{[2
]}

Turhan, K. ^{[1
]}

Cagirici, U. ^{[1
]}

Askar, F. ^{[2
]}

Veral, A. ^{[3
]}

机构：

[1] Ege Univ, Tip Fak, Gogus Cerrahisi Anabilim Dali, TR-35100 Izmir, Turkey

[2] Ege Univ, Sch Med, Dept Anesthesiol & Reanimat, TR-35100 Izmir, Turkey

[3] Ege Univ, Sch Med, Dept Pathol, TR-35100 Izmir, Turkey

来源：

EUROPEAN SURGICAL RESEARCH | 2009年 / 43卷 / 01期

关键词：

Animal model; Ligasure vessel sealing system; Harmonic scalpel; Lung; Thoracic surgery; Experimental study; STAPLELESS THORACOSCOPIC SURGERY; LUNG; ULTRACISION; SEALER; BIOPSY;

D O I：

10.1159/000213645

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: The safety and efficacy of the ligasure vessel sealing system (LVSS) and harmonic scalpel (HS) in sutureless nonanatomical lung resections were evaluated. Methods: On twenty adult rabbit lungs, 1 x 1 cm wedge resections were performed under one-lung ventilation with both LVSS and HS. The air tightness and tissue damage caused by these different techniques were measured and compared. Results: No statistically significant differences were found when the air tightness for both devices was compared after resection (p = 0.37). Tissue damage was obtained for LVSS, and the difference was statistically significant (p < 0.001). Discussion: LVSS and HS can both be used for peripheral lung resections without any need of further intervention for securing the air tightness. LVSS was found safer by means of tissue damage when compared with HS in this experimental study. Copyright (C) 2009 S. Karger AG, Basel

引用

页码：24 / 28

页数：5

共 20 条

[1] Thoracoscopic resection of the lung with the ultrasonic scalpel [J].

Aoki, T ;

Kaseda, S .

ANNALS OF THORACIC SURGERY, 1999, 67 (04) :1181-1183

[2]

Cakan A, 2004, J CARDIOVASC SURG, V45, P63

[3] Electrothermal bipolar vessel sealing device vs. ultrasonic coagulating shears in laparoscopic colectomies: a comparative study [J].

Campagnacci, Roberto ;

de Sanctis, Angelo ;

Baldarelli, Maddalena ;

Rimini, Massimiliano ;

Lezoche, Giovanni ;

Guerrieri, Mario .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2007, 21 (09) :1526-1531

[4] Comparison of the use of electrothermal bipolar vessel sealer with harmonic scalpel in total laparoscopic hysterectomy [J].

Demirturk, Fazli ;

Aytan, Hakan ;

Caliskan, Ahmet C. .

JOURNAL OF OBSTETRICS AND GYNAECOLOGY RESEARCH, 2007, 33 (03) :341-345

[5] Comparison of monopolar electrocoagulation, bipolar electrocoagulation, ultracision, and ligasure [J].

Diamantis, Theodore ;

Kontos, Michael ;

Arvelakis, Antonios ;

Syroukis, Spiridon ;

Koronarchis, Dimitris ;

Papalois, Apostolos ;

Agapitos, Emmanuel ;

Bastounis, Elias ;

Lazaris, Andreas C. .

SURGERY TODAY, 2006, 36 (10) :908-913

[6] Evaluation of ultracision in lung metastatic surgery [J].

Eichfeld, U ;

Tannapfel, A ;

Steinert, M ;

Friedrich, T .

ANNALS OF THORACIC SURGERY, 2000, 70 (04) :1181-1184

[7]

Gertsch P, 2000, HEPATO-GASTROENTEROL, V47, P763

[8]

Hayashi Akihiro, 1999, Kurume Medical Journal, V46, P25

[9] Safety of a thermal vessel sealer on main pulmonary vessels [J].

Lacin, Tunc ;

Batirel, Hasan Fevzi ;

Ozer, Kursat ;

Demirutku, Alper ;

Ahiskali, Rengin ;

Yuksel, Mustafa .

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, 2007, 31 (03) :482-485

[10] Complications after ultrasonic lung parenchyma biopsy:: a strong note for caution [J].

Molnar, T. F. ;

Benko, I. ;

Szanto, Z. ;

Nagy, A. ;

Horvath, O. P. .

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (03) :679-682

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