Ligasure在胸腔镜肺手术中的应用价值  

Preliminary application study of Ligasure in video-assisted thoracic pulmonary surgery

作　　者：戴为民[1] 杨博[1] 初向阳[1] 王钰琦[1] 汪涛[1] 

机构地区：[1]解放军总医院胸外科,北京100853

出　　处：《中华医学杂志》2011年第11期772-774,共3页National Medical Journal of China

摘　　要：目的 探讨Ligasure在胸腔镜肺手术中的临床应用价值.方法 选择2008年10月至2010年6月解放军总医院15例自发性气胸和20例周围型单发肺结节行胸腔镜手术的患者,术中使用Ligasure离断肺组织及肺小血管,评估其可靠性及安全性.结果 15例自发性气胸和20例周围型单发肺结节患者手术均顺利完成,未见术中大出血、术后活动性出血、持续漏气等严重并发症.术后随访2～18个月,平均随访9.3个月,未见迟发性出血、气胸复发等并发症.结论 胸腔镜肺手术中正确使用Ligasure安全、可靠,可以优化手术操作,缩短手术时间.Objective To investigate the application and techniques of Ligasure in video-assisted thoracic pulmonary surgery.Methods Use Ligasure to dissect lung parenchyma,small pulmonary vessel and stop bleeding in 15 cases spontaneous pneumothorax and 20 cases peripheral single lung node who undertaken video-assisted thoracic surgery during October 2008 to June 2010.Result All the procedures were successful,no severe complications,as active bleeding,continuous air leak occurred.A period of 9.3months （2-18 months） follow-up of all patients shows no delayed bleeding or recurrence pneumothorax.Conclusion Ligasure is safe,easy to use.It can optimize operation and reduce the operation time.

关 键 词：胸腔镜检查 硬币病变 肺 气胸 Ligasure血管结扎系统 

分 类 号：R655.3[医药卫生—外科学]