Harmonic scalpel in thoracoscopic surgery for lung cancer: A case control study
10.7507/1007-4848.201711041
- VernacularTitle:胸腔镜肺癌手术中应用超声刀的病例对照研究
- Author:
SHI Yan
1
;
WANG Luming
1
;
WANG Yiqing
1
;
LV Wang
1
;
HU Jian
1
Author Information
1. Department of Thoracic Surgery, the First Affiliated Hospital, Zhejiang University, Hangzhou, 310003, P.R.China
- Publication Type:Journal Article
- Keywords:
Harmonic scalpel;
thoracoscopic surgery;
pulmonary wedge resection;
pulmonary lobectomy
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(1):17-22
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical effects of harmonic scalpel application in thoracoscopic surgery for lung cancer, which may guide its reasonable application. Methods We retrospectively analyzed the clinical data of 145 lung cancer patients receiving thoracoscopic surgery from January to March 2017 in our hospital. There were 57 patients with thoracoscopic pulmonary wedge resection, and harmonic scalpel was used in 34 patients (8 males, 26 females at age of 59.68±10.91 years), and was not used in 23 patients (13 males and 10 females at age of 59.13±11.21 years). There were 88 patients receiving thoracoscopic pulmonary lobectomy, among whom harmonic scalpel was used in 80 patients (36 males and 44 females at age of 59.68±10.91 years), and was not used in 8 patients (5 males, 3 females at age of 61.63±5.60 years). We recorded the perioperative outcomes of all patients. Results In the 34 patients undergoing thoracoscopic pulmonary wedge resection by harmonic scalpe, the operation time was 90.09±43.52 min, the blood loss was 21.32±12.75 ml, the number of lymph nodes resected was 5.12±4.26, duration of drainage was 3.15±1.16 d, volume of drainage was 535.00±291.69 ml, the length of postoperative hospital stay was 4.56±1.40 d, and no postoperative complication was observed. In the 80 patients receiving thoracoscopic pulmonary lobectomy by harmonic scalpel, operation time was 131.88±41.82 min, blood loss was 42.79±31.62 ml, the number of lymph nodes resected was 13.54±8.75, duration of thoracic drainage was 4.47±2.30 d, drainage volume was 872.09±585.24 ml, the length of postoperative hospital stay was 5.81±2.26 d, and 20 patients had postoperative complications. No complication occurred in the 8 patients without harmonic scalpel. Conclusion Harmonic scalpel showed satisfactory effectiveness and safety in lung cancer thoracoscopic surgery.
