Video-assisted thoracic surgical resection of malignant lung tumors

Lewis, Ralph J.; Caccavale, Robert J.; Sisler, Glenn E.; Mackenzie, James W.

doi:10.1016/s0022-5223(19)33900-5

Cited by 97 publications

(31 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…With the introduction of VATS techniques, the endostapler has become the primary method of dividing both the pulmonary parenchyma and the vasculature. 10,11 The use of energy-based devices for tissue fusion and division has gained increased popularity and use in a wide variety of intra-abdominal procedures. Few data currently exist regarding the use of this technology in thoracic applications, such as the division of the pulmonary vasculature during anatomic lung resection.…”

Section: Discussionmentioning

confidence: 99%

Preliminary results of anatomic lung resection using energy-based tissue and vessel coagulative fusion technology

Schuchert

Abbas

Pettiford

et al. 2010

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

Objectives: Mechanical stapling devices have been established as the mainstay of therapy in the selective isolation and division of bronchial and vascular structures during anatomic lung resection. Few data are available regarding the application of energy-based tissue fusion technology during anatomic lung resection. In the present study, we evaluated the use of energy-based instruments for the division of the pulmonary arterial and venous branches during anatomic lung resection. Methods: Anatomic lung resection (segmentectomy or lobectomy) was performed using energy-based coagulative fusion technology. A low-profile jaw can be used to facilitate dissection in both open and video-assisted thoracic surgery cases, applying a seal 6 mm wide by 22 mm in length. Two energy applications were applied to the arterial and venous branches before vessel division. Results: The bipolar tissue fusion system was used in 211 patients between 2008 and 2010 (104 lobectomies and 107 anatomic segmentectomies). Initially, we used a device with a smaller, curved jaw (n ¼ 12), producing a 3.3to 4.7-cm seal. No arterial dehiscences and 2 partial venous dehiscences that were recognized and controlled intraoperatively occurred. For the remaining cases, we used a new device with a larger jaw that applied a seal 6 mm wide by 22 mm in length. No arterial or venous dehiscences (vessel size range, 0.4-1.2 cm) occurred. Conclusions: The bipolar tissue fusion system provided safe and reliable control of pulmonary arterial and venous branches during anatomic lung resection. The use of energy-based tissue fusion technology represents a reasonable alternative to mechanical stapling devices during anatomic lung resection.

show abstract

Section: Discussionmentioning

confidence: 99%

Preliminary results of anatomic lung resection using energy-based tissue and vessel coagulative fusion technology

Schuchert

Abbas

Pettiford

et al. 2010

The Journal of Thoracic and Cardiovascular Surgery

View full text Add to dashboard Cite

show abstract

“…[1][2][3][4][5][6] In subsequent years it has achieved broad application in clinical practice as a minimally invasive tool for multiple indications. [7][8][9][10][11][12][13][14][15][16][17][18][19][20] Techniques for VATS lobectomy as an oncologic resection emerged after this experience, with many large retrospective series showing the feasibility and safety of this minimally invasive surgical approach. 11,12,[14][15][16][21][22][23] Although the existing retrospective data suggest equivalent oncologic outcomes with VATS lobectomy and lobectomy using a conventional open thoracotomy, prospective studies are needed to confirm this hypothesis and are ongoing.…”

mentioning

confidence: 99%

Clinical Outcomes of Video-Assisted Thoracoscopic Lobectomy

Tomaszek

Cassivi

Shen

et al. 2009

Mayo Clinic Proceedings

View full text Add to dashboard Cite

show abstract

“…The advantages of thoracoscopy include visually directed and selective biopsies of parietal, mediastinal, and visceral pleura, direct visualization and examination of the entire hemithorax, and simultaneous lung or lymph node biopsy if required. The procedure is well tolerated with less than 1% mortality [85,86].…”

Section: Diagnosismentioning

confidence: 98%