[Energy Device and Soft Coagulation System in Thoracic Surgery]
1Division of Chest Surgery, Department of Surgery, Toho University School of Medicine, Tokyo, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 13, 2018
Summary
Energy-based surgical tools like ultrasonic shears and soft coagulation are safe for thoracic procedures. These advanced systems effectively seal vessels and prevent complications such as chylothorax, enhancing surgical outcomes.
Area of Science:
- Thoracic Surgery
- Surgical Technology
Background:
- Minimally invasive surgical techniques are advancing.
- Energy-based devices offer new approaches in surgery.
- Safety and efficacy of these novel tools require investigation.
Purpose of the Study:
- To review the use of energy-based devices in thoracic surgery.
- To assess the safety and effectiveness of ultrasonic shears and soft coagulation.
Main Methods:
- Review of experimental and clinical data.
- Focus on ultrasonically-activated coagulating shears, vessel sealing systems, and soft coagulation.
Main Results:
- Energy devices are safe for pulmonary vessels, especially with ligatures.
- Energy devices can effectively seal the thoracic duct, preventing chylothorax.
- Bipolar scissors allow safe pulmonary vessel dissection; monopolar soft coagulation addresses air leaks and bleeding.
Conclusions:
- Energy-based devices are safe and effective in thoracic surgery.
- Ultrasonic shears and soft coagulation offer benefits for vessel sealing and lung procedures.
- These technologies show promise for reducing invasiveness and improving patient outcomes.
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