title: Right superior mediastinal lymph node dissection in thoracoscopic surgery using a bipolar sealing device.
abstract: OBJECTIVE
  This study investigated the use of a new bipolar sealing device (BSD) in right superior mediastinal lymph node dissection during thoracoscopic surgery.
  
  
  METHODS
  The study population consisted of 42 consecutive patients undergoing lobectomy with right superior mediastinal lymph node dissection for primary lung cancer. Operative results were compared with those of conventional surgery in 42 background-matched controls. The primary endpoint for the present analysis was the success of right superior mediastinal lymph node dissection during thoracoscopic surgery using a BSD. The secondary endpoints included the duration of the operation, number of dissected lymph nodes, chest drainage volume and duration, postoperative hospital stay, morbidity, and mortality.
  
  
  RESULTS
  The BSD was used successfully in 42 patients. No significant difference in duration of lymph node dissection, chest drainage volume, drainage duration, or number of dissected lymph nodes was observed between the study group and the controls. Because of a learning curve, the procedure initially took more than 20 minutes to complete, but surgical time was reduced to approximately 15 minutes after the procedure was performed in 15 patients.
  
  
  CONCLUSIONS
  Our method is safe and in no way inferior to the conventional procedure. The tendency of the learning curve suggests that a significantly shorter duration of lymph node dissection is possible using this method.
authors.affiliation: From the *Department of General Thoracic Surgery, Maebashi Red Cross Hospital, Maebashi, Japan; and †Division of Thoracic and Visceral Organ Surgery, Gunma University Graduate School of Medicine, Maebashi, Japan.
authors.forename: Mitsuhiro
authors.initials: M
authors.lastname: Kamiyoshihara
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Igai
authors.forename: Takashi
authors.initials: T
authors.lastname: Ibe
authors.forename: Natsuko
authors.initials: N
authors.lastname: Kawatani
authors.forename: Yoichi
authors.initials: Y
authors.lastname: Ohtaki
authors.forename: Kimihiro
authors.initials: K
authors.lastname: Shimizu
authors.forename: Izumi
authors.initials: I
authors.lastname: Takeyoshi
mesh_terms: D000368:Aged; D016022:Case-Control Studies; D015505:Chest Tubes; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006488:Hemostasis, Surgical / Q000295:instrumentation; D006801:Humans; D007902:Length of Stay; D008175:Lung Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D008197:Lymph Node Excision / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D061646:Operative Time; D061214:Patient Safety; D011013:Pneumonectomy / Q000379:methods*; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology; D015996:Survival Rate; D020775:Thoracic Surgery, Video-Assisted / Q000009:adverse effects / Q000379:methods; D013906:Thoracoscopy / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D016896:Treatment Outcome