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Electrothermal bipolar tissue sealing systems in lung surgery.
Mario Santini1, Giovanni Vicidomini, Alfonso Fiorello
1Thoracic Surgery, Second University of Naples, Piazza Miraglia 2, 80138 Naples, Italy.
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|January 14, 2014
Summary
LigaSure, an electrothermal bipolar tissue sealing system, offers a safe and effective method for reducing blood loss during lung surgery. This technique may complement or replace staplers, preserving lung tissue and lowering costs.
Area of Science:
- Surgical Technology
- Thoracic Surgery
- Medical Devices
Background:
- Minimizing intraoperative blood loss is crucial in surgical procedures.
- Electrostal bipolar tissue sealing systems have shown promise in various surgical fields.
- Limited literature exists on the application of LigaSure in lung surgery.
Purpose of the Study:
- To present the largest clinical series to date on the use of LigaSure in lung surgery.
- To evaluate the technical aspects and clinical outcomes of LigaSure in this context.
- To compare LigaSure with existing methods for lung tissue sealing and division.
Main Methods:
- Retrospective analysis of 160 lung surgery procedures using LigaSure over a 4-year period.
- Detailed documentation of technical aspects, including device usage and procedure duration.
- Review of intraoperative blood loss, postoperative complications, and functional lung tissue preservation.
Main Results:
- LigaSure demonstrated ease of use and safety in lung surgery.
- The system was effective in reducing intraoperative blood loss.
- Functional lung tissue preservation was achieved, potentially reducing the need for staplers.
- Surgical supplies costs may be reduced with the adoption of this technology.
Conclusions:
- LigaSure is a viable and safe alternative or adjunct to staplers in various lung surgery procedures, including thoracoscopic approaches.
- The technique facilitates functional lung tissue preservation.
- Adoption of LigaSure may lead to reduced surgical costs.
