Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective
Objectives: For lung segmentectomy of small lung cancers, we used a microwave surgical instrument for lung parenchymal dissection mainly at the pulmonary hilum, which is difficult to handle with surgical staplers. This technique facilitated the insertion of staples. Methods: In total, 116 patients w...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250724000579 |
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| author | Takeshi Mimura, MD, PhD Masayuki Ishida, MD Kazuki Tadokoro, MD Atsushi Kamigaichi, MD Yuya Hirai, MD Mai Nishina, MD Atsushi Kagimoto, MD, PhD Norifumi Tsubokawa, MD, PhD Yoshinori Yamashita, MD, PhD |
| author_facet | Takeshi Mimura, MD, PhD Masayuki Ishida, MD Kazuki Tadokoro, MD Atsushi Kamigaichi, MD Yuya Hirai, MD Mai Nishina, MD Atsushi Kagimoto, MD, PhD Norifumi Tsubokawa, MD, PhD Yoshinori Yamashita, MD, PhD |
| author_sort | Takeshi Mimura, MD, PhD |
| collection | DOAJ |
| description | Objectives: For lung segmentectomy of small lung cancers, we used a microwave surgical instrument for lung parenchymal dissection mainly at the pulmonary hilum, which is difficult to handle with surgical staplers. This technique facilitated the insertion of staples. Methods: In total, 116 patients with cStage 0-1A3 non–small cell lung cancer who underwent lung segmentectomy were included in this study. We compared the perioperative factors of the group in which a microwave surgical instrument was used for dissection procedures, including lung parenchymal dissection at the pulmonary hilum, and peripheral intersegmental dissection was performed with surgical staplers (group M+S: N = 69), with those of the group in which parenchymal dissection was performed mainly with surgical staplers without using the microwave surgical instrument (group S: N = 47). Results: Although more complex segmentectomies were performed in the M+S group (P = .001), the number of staple cartridges (7 staple cartridges vs 8 staple cartridges, P = .005), the surgical times (179 vs 221 minutes, P < .0001), and the blood loss (5 mL vs 30 mL, P = .012) were significantly lower in the M+S group. The duration of chest tube placement was significantly shorter in the M+S group (P = .019), and postoperative complications of grade 2 or greater were significantly lower in the M+S group (P = .049). Conclusions: The effective use of the microwave surgical instrument combined with surgical staplers can simplify pulmonary hilar and intersegmental plane dissections not only for simple segmentectomy but also for complex segmentectomy, leading to favorable intraoperative and postoperative outcomes. |
| format | Article |
| id | doaj-art-5dce32effa2e4d6e95b10c7ad90d8c9a |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-5dce32effa2e4d6e95b10c7ad90d8c9a2025-08-20T03:38:26ZengElsevierJTCVS Techniques2666-25072024-04-012418619610.1016/j.xjtc.2024.02.002Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspectiveTakeshi Mimura, MD, PhD0Masayuki Ishida, MD1Kazuki Tadokoro, MD2Atsushi Kamigaichi, MD3Yuya Hirai, MD4Mai Nishina, MD5Atsushi Kagimoto, MD, PhD6Norifumi Tsubokawa, MD, PhD7Yoshinori Yamashita, MD, PhD8Address for reprints: Takeshi Mimura, MD, PhD, Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, 3-1, Aoyama-cho, Kure, Hiroshima 737-0023, Japan.; Department of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanDepartment of General Thoracic Surgery, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan, Kure, Hiroshima, JapanObjectives: For lung segmentectomy of small lung cancers, we used a microwave surgical instrument for lung parenchymal dissection mainly at the pulmonary hilum, which is difficult to handle with surgical staplers. This technique facilitated the insertion of staples. Methods: In total, 116 patients with cStage 0-1A3 non–small cell lung cancer who underwent lung segmentectomy were included in this study. We compared the perioperative factors of the group in which a microwave surgical instrument was used for dissection procedures, including lung parenchymal dissection at the pulmonary hilum, and peripheral intersegmental dissection was performed with surgical staplers (group M+S: N = 69), with those of the group in which parenchymal dissection was performed mainly with surgical staplers without using the microwave surgical instrument (group S: N = 47). Results: Although more complex segmentectomies were performed in the M+S group (P = .001), the number of staple cartridges (7 staple cartridges vs 8 staple cartridges, P = .005), the surgical times (179 vs 221 minutes, P < .0001), and the blood loss (5 mL vs 30 mL, P = .012) were significantly lower in the M+S group. The duration of chest tube placement was significantly shorter in the M+S group (P = .019), and postoperative complications of grade 2 or greater were significantly lower in the M+S group (P = .049). Conclusions: The effective use of the microwave surgical instrument combined with surgical staplers can simplify pulmonary hilar and intersegmental plane dissections not only for simple segmentectomy but also for complex segmentectomy, leading to favorable intraoperative and postoperative outcomes.http://www.sciencedirect.com/science/article/pii/S2666250724000579lung segmentectomymicrowave surgical instrumentnon–small cell lung cancersurgical stapler |
| spellingShingle | Takeshi Mimura, MD, PhD Masayuki Ishida, MD Kazuki Tadokoro, MD Atsushi Kamigaichi, MD Yuya Hirai, MD Mai Nishina, MD Atsushi Kagimoto, MD, PhD Norifumi Tsubokawa, MD, PhD Yoshinori Yamashita, MD, PhD Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective JTCVS Techniques lung segmentectomy microwave surgical instrument non–small cell lung cancer surgical stapler |
| title | Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective |
| title_full | Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective |
| title_fullStr | Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective |
| title_full_unstemmed | Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective |
| title_short | Application of microwave surgical instrument to lung segmentectomy for small-sized lung cancerCentral MessagePerspective |
| title_sort | application of microwave surgical instrument to lung segmentectomy for small sized lung cancercentral messageperspective |
| topic | lung segmentectomy microwave surgical instrument non–small cell lung cancer surgical stapler |
| url | http://www.sciencedirect.com/science/article/pii/S2666250724000579 |
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