Introduction: Many recently published studies describe the efficacy and the safety of LigaSure™ Vessel Sealing System in thoracic surgery for pulmonary atypical resections or fissure separations in human and for pulmonary major vessel division in experimental animal models. Materials and Methods: We report a case of a pulmonary lobectomy successfully performed on a 55 years-old caucasic woman with NSCLC using a bipolar thermal vessel sealer (LigaSure™ Vessel Sealing System). Results: We realized an upper right lobectomy, by a posterior- lateral thoracotomic approach, using LigaSure™ Vessel Sealing System to: enter the pleura space, seal segmental branches of the right pulmonary artery and of the right superior pulmonary vein, divide incomplete interlobar fissures, incise the mediastinal pleura in order to achieve systematic limphadenectomy and for haemostasis. Operative time was of 120 minutes; we couldn’t observe any intra-operative bleeding; post-operative course was uneventful without prolonged air leaks. One year follow-up reveals no procedure-related complications and absence of neoplasm relapse. Conclusion: In our opinion, LigaSure™ Vessel Sealing System could actually find application in anatomical resections for NSCLC early stages. In the future we hope to achieve larger series of patients in order to gain more data about this useful device.

A PULMONARY LOBECTOMY ENTIRELY REALIZED WITH LIGASURE™ VESSEL SEALING SYSTEM: IS IT A REASONABLE ALTERNATIVE TO CONVENTIONAL LIGATURES?

LUCIANO, GIULIA;DAVOLI, FABIO;CASSANELLI, NICOLA;DOLCI, GIAMPIERO;BINI, ALESSANDRO;STELLA, FRANCO
2010

Abstract

Introduction: Many recently published studies describe the efficacy and the safety of LigaSure™ Vessel Sealing System in thoracic surgery for pulmonary atypical resections or fissure separations in human and for pulmonary major vessel division in experimental animal models. Materials and Methods: We report a case of a pulmonary lobectomy successfully performed on a 55 years-old caucasic woman with NSCLC using a bipolar thermal vessel sealer (LigaSure™ Vessel Sealing System). Results: We realized an upper right lobectomy, by a posterior- lateral thoracotomic approach, using LigaSure™ Vessel Sealing System to: enter the pleura space, seal segmental branches of the right pulmonary artery and of the right superior pulmonary vein, divide incomplete interlobar fissures, incise the mediastinal pleura in order to achieve systematic limphadenectomy and for haemostasis. Operative time was of 120 minutes; we couldn’t observe any intra-operative bleeding; post-operative course was uneventful without prolonged air leaks. One year follow-up reveals no procedure-related complications and absence of neoplasm relapse. Conclusion: In our opinion, LigaSure™ Vessel Sealing System could actually find application in anatomical resections for NSCLC early stages. In the future we hope to achieve larger series of patients in order to gain more data about this useful device.
23rd National Congress of Young Surgeons
251
252
G. Luciano; F. Davoli; N. Cassanelli; G. Dolci; A. Bini; F. Stella
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/11585/122251
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