Powered articulation by the SigniaTM stapling system for stapling position adjustments: optimizing safe surgical margins in thoracoscopic sublobar resection.
Surg Today
; 51(3): 447-451, 2021 Mar.
Artículo
en Inglés
| MEDLINE | ID: covidwho-1453756
ABSTRACT
Accumulation of experience and advances in techniques and instruments have enabled surgeons to perform video-assisted thoracic surgery (VATS) safely for sublobar resection, including segmentectomy and wedge resection. A key to successful VATS sublobar resection is to have adequate resection margins and the appropriate use of articulated surgical staplers is essential for this purpose. The SigniaTM stapling system (Covidien Japan, Tokyo) has been used extensively in the fields of thoracic surgery. Its features include high maneuverability with fully powered articulation, rotation, clamping, and firing, which the surgeon can control with one hand. We introduce the "sliding technique" using the SigniaTM system, which allows for adjustment of the resection lines of the pulmonary parenchyma to optimize safe surgical margins with minimal stapler movement, and without repetitively moving the stapler in and out of the pleural cavity, during VATS sublobar resection.
Palabras clave
Texto completo:
Disponible
Colección:
Bases de datos internacionales
Base de datos:
MEDLINE
Asunto principal:
Neumonectomía
/
Engrapadoras Quirúrgicas
/
Grapado Quirúrgico
/
Cirugía Torácica Asistida por Video
/
Márgenes de Escisión
/
Pulmón
/
Neoplasias Pulmonares
Límite:
Humanos
Idioma:
Inglés
Revista:
Surg Today
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
S00595-020-02109-0
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