The utility of BiClamp(®) for intraoperative air leakage control in video-assisted thoracic surgery for pulmonary lobectomy.
We describe a simple technique of controlling air leakage from the lung parenchyma using BiClamp(®). The device creates appropriate protein coagulation at an air leakage point of the lung parenchyma. The leakage point and adjacent area are grasped with BiClamp(®) forceps and coagulated without tissue carbonization. After the procedure, no air leakage was recognized under airway pressure test of 15-20 cmH(2)O. This method is easy to handle, especially in video-assisted thoracic surgery lobectomy with an economical advantage as "Ecosurgery".
Department of General Thoracic Surgery, Saga Prefectural Hospital Koseikan, Saga, Japan. tohrusakuragi@hotmail.com
Tohru
T
Sakuragi
Hitoshi
H
Ohteki
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D008168:Lung / Q000601:surgery; D008175:Lung Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy / Q000295:instrumentation* / Q000379:methods; D011656:Pulmonary Emphysema / Q000601:surgery*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation / Q000379:methods