Bipolar sealing devices in video-assisted thoracic surgery

Longo, Filippo; Crucitti, Pierfilippo; Quintarelli, Fabio; Rocco, Raffaele; Mangiameli, Giuseppe; Rocco, Gaetano

doi:10.21037/jovs.2017.01.07

Cited by 7 publications

(5 citation statements)

References 21 publications

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“…Emphasis is laid on three more steps in VEIL: distal lymphatic tissue ligation at the femoral triangle vertex, proximal control of visualized lymphatics, and ligation of the proximal portion of the lymphatic tissue at the deep portion of the femoral channel using clips or tissue sealers [34]. The authors believe that the bipolar tissue sealers used in VEIL contribute to the reduced drain and early removal of drains [35,36].…”

Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Lateral Approach-Video Endoscopic Inguinal Lymphadenectomy (L-VEIL) over Open Inguinal Block Dissection: a Retrospective Study

Nayak

Pokharkar

Gurawalia

et al. 2019

Indian J Surg Oncol

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This retrospective study compared the immediate post-operative short-term outcomes of Lateral Approach-Video Endoscopic Inguinal Lymphadenectomy (L-VEIL) and open surgery approach in patients with TNM stage N0 and N1 tumors. Inguinal lymphadenectomies performed for various TNM stage N0 and N1 cancers between January 2011 and December 2015 at a single center were analyzed by collecting data from operation theater records and case files. Mean blood loss, operative time, drain output, nodal yield, nodal positivity, and complications were analyzed as post-procedural outcomes. Among the 116 surgeries performed, 92 were open surgery and 24 were L-VEIL. Compared with open surgery, L-VEIL led to significantly lower blood loss (64.8 mL vs. 23.3 mL; p = 0.002), mean nodal yield (11.04 vs. 8.38; p = 0.001), and mean hospital stay (3.08 vs. 8 days; p < 0.001). However, the operative time was similar for both the groups (94.5 vs. 68.1 min; p = 0.08). Complications that were significantly low in L-VEIL were flap necrosis [RR 1.29; 95% CI (1.03-1.72); p < 0.001], wound dehiscence [RR 1.25; 95% CI (1.19-1.51); p = 0.005), wound infection [RR 1.34; 95% CI (1.19-1.51); p = 0.003], readmission [RR 1.3; 95% CI (1.17-1.44); p = 0.005], and re-surgery [p = 0.014]. Occurrence of complications such as lymphocele [RR 1.25;; p = 0.5], lymphorrhea [RR 1.27;; p = 0.5], and pedal edema [p = 0.2] were similar for both the approaches. L-VEIL was effective and safe compared with open inguinal block dissection in treatment of various TNM stage N0 and N1 urogenital and skin cancers.

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Section: Discussionmentioning

confidence: 99%

Efficacy and Safety of Lateral Approach-Video Endoscopic Inguinal Lymphadenectomy (L-VEIL) over Open Inguinal Block Dissection: a Retrospective Study

Nayak

Pokharkar

Gurawalia

et al. 2019

Indian J Surg Oncol

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“…Staplers, electric scissors, laser scissors, and coagulation instruments are common devices used in performing PM (20). Regardless of the surgical device adopted, postoperative local recurrence at the surgical margin still remains an important problem ranging from 4 to 31% after PM procedures (21)(22)(23)(24)(25).…”

Section: Surgical Marginmentioning

confidence: 99%

Lung Metastases: Current Surgical Indications and New Perspectives

et al. 2022

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Pulmonary metastasectomy is an established treatment that can provide improved long- term survival for patients with metastatic tumor(s) in the lung. In this mini-review, we discuss the state of the art of thoracic surgery in surgical management of lung metastases which actually occurs for a large part of surgical activity in thoracic surgery department. We describe the principles of surgical therapy that have been defined across the time, and that should remain the milestones of lung metastases treatment: a radical surgery and an adequate lymphadenectomy. We then focus on current surgical indications and report the oncological results according to the surgical approach (open vs. mini-invasive), the histological type and number of lung metastases, and in case of re-metastasectomy. Finally, we conclude with a brief overview about the future perspectives in thoracic surgery in treatment of lung metastases.

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“…Initial thoracoscopic procedures were reported in the early 20th century (30), but the widespread use of the VATS technique did not occur until the 1980s with improvement in video technology, the introduction of double-lumen endotracheal tubes, and the mechanical surgical stapler allowing to securely divide pulmonary parenchyma, bronchi, and vessels through small incisions (31)(32)(33).…”

Section: Video-assisted Thoracoscopic Surgerymentioning

confidence: 99%

Lung Cancer Treatment: From Tradition to Innovation

Mangiameli

Cioffi²,

Testori³

2022

Front. Oncol.

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Lung cancer (LC) is the second most commonly diagnosed cancer and the primary cause of cancer death worldwide in 2020. LC treatment is associated with huge costs for patients and society; consequently, there is an increasing interest in the prevention, early detection with screening, and development of new treatments. Its surgical management accounts for at least 90% of the activity of thoracic surgery departments. Surgery is the treatment of choice for early-stage non-small cell LC. In this article, we discuss the state of the art of thoracic surgery for surgical management of LC. We start by describing the milestones of LC treatment, which are lobectomy and an adequate lymphadenectomy, and then we focus on the traditional and innovative minimally invasive surgical approaches available: video-assisted thoracoscopic surgery (VATS) and robotic-assisted thoracoscopic surgery (RATS). A brief overview of the innovation and future perspective in thoracic surgery will close this mini-review.

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Bipolar sealing devices in video-assisted thoracic surgery

Cited by 7 publications

References 21 publications

Efficacy and Safety of Lateral Approach-Video Endoscopic Inguinal Lymphadenectomy (L-VEIL) over Open Inguinal Block Dissection: a Retrospective Study

Efficacy and Safety of Lateral Approach-Video Endoscopic Inguinal Lymphadenectomy (L-VEIL) over Open Inguinal Block Dissection: a Retrospective Study

Lung Metastases: Current Surgical Indications and New Perspectives

Lung Cancer Treatment: From Tradition to Innovation

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