Objective
To compare the differences in the application of ultrasound scalpel and coagulation hook in thoracoscopic anterior mediastinal tumor surgery and to analyze the respective advantages and indications of the two commonly used energy instruments.
Methods
The clinical data of 85 patients undergoing thoracoscopic anterior mediastinal tumor surgery in West China Hospital of Sichuan University between June and November in 2017 were prospectively analyzed. There were 45 males and 40 females at age of 50.45 (18–75) years. The patients were divided into three groups including a ultrasound scalpel group (59 patients), a coagulation hook group (17 patients) and a mixed group (9 patients) according to the using time of energy devices. The clinical effect among the three groups were compared.
Results
No significant difference was found among the three groups in operation time, blood loss, average duration of chest tube drainage or volume of drainage (P>0.05). No significant complications occurred in all groups during operation or after operation. The proportion of subxiphoid approach in the ultrasound scalpel group was higher than that in the other two groups (49/59vs. 7/17 vs. 5/9, P<0.01). The maximum diameter of the tumor (4.58±2.19 cmvs. 4.05±1.07 cm vs. 3.00±1.45 cm, P<0.05) and the resected tissue weight (103.67±74.78 gvs. 61.17±31.97 g vs. 61.86±34.13 g, P<0.05) were also significantly greater than that in the coagulation hook group or the mixed group.
Conclusion
Ultrasound scalpel has good safety and reliability in the thoracoscopic anterior mediastinal tumor surgery, and is more suitable for operation in a narrow space.
Citation：
WANG Zihao, LIAO Hu, ZHANG Hanlu, ZHEN Yu, WANG Fuqiang, WANG Yun, LIU Lunxu. Application of ultrasonic scalpel versus coagulation hook in thoracoscopic anterior mediastinal tumor surgery: A controlled trial. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 9-11. doi: 10.7507/1007-4848.201712016
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- 1. 陈厚赏, 赵波. 超声刀在前纵隔肿瘤手术中的应用. 右江民族医学院学报, 2011, 33(1): 42-43.
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- 3. Amani T, Veysi K, Elyasi S, et al. A precise experimental study of various affecting operational parameters in electrocoagulation-flotation process of high-load compost leachate in a batch reactor. Water Sci Technol, 2014, 70(8): 1314-1321.
- 4. 中国医师协会胸外科医师分会微创外科专家委员会, 刘伦旭, 李印, 胡坚, 等. 胸腔镜手术超声刀规范使用专家共识(2017 版). 中国胸心血管外科临床杂志, 2017, 24(6): 407-412.
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