Comparison of stapler and electrocautery for division of the intersegmental plane in lung segmentectomy

Uniportal thoracoscopic pulmonary segmentectomy provides good perioperative results and early postoperative recovery

“…Changes in the method of intersegmental division might also have an effect. Electrocautery was often used in the H/M-VATS group, and as reported before (26), this may have affected the difference in drainage duration. Moreover, the enhanced recovery after surgery program (a multidisciplinary clinical care bundle that optimizes pre-, intra-, and postoperative care) was adopted by this institution in 2015, and it may have also contributed to early postoperative recovery and shorter hospitalization.…”

Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancer

“… 6 However, the use of surgical staplers, electrocautery, or other energy devices for dissection of the intersegmental plane remains controversial. 15 , 16 , 17 , 18 , 19 In a previous prospective study, the degree of pulmonary function preservation did not change in a comparison of intersegmental dissection using surgical staplers or electrocautery, and the surgical stapler group required more staple cartridges. However, the medical costs remained the same because of increased complications in the electrocautery group.…”

“…However, the medical costs remained the same because of increased complications in the electrocautery group. 17 In many previous reports, lung segmentectomy with surgical staplers seems to be the mainstream worldwide, 8 , 9 , 17 , 18 , 19 and surgical staplers are inevitably used because of the desire of general thoracic surgeons to reduce air leak–related complications. Asakura and colleauges 20 proved in a pig model that segmentectomy using a combination of scissors and a surgical stapler can preserve the pulmonary function, similar to segmentectomy using scissors alone.…”

An analysis of residual lung volume changes after segmentectomy based on three-dimensional computed tomography

“…Furthermore, we observed a predominance of intersegmental plane formation using electrocautery in the compensated group. With respect to the techniques employed for this procedure, previous reports have indicated no significant difference in postoperative pulmonary function when comparing different devices, such as surgical staplers or electrocautery ( 24 - 26 ). In this study, electrocautery was used in a limited number of patients.…”