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Ann Thorac Surg 1999;67:1181-1183
© 1999 The Society of Thoracic Surgeons

How To Do It

Thoracoscopic resection of the lung with the ultrasonic scalpel

Teruhiro Aoki, MDa, Shizuka Kaseda, MDa

a Department of Thoracic Surgery, Saiseikai Kanagawaken Hospital, Yokohama, Japan

Accepted for publication September 23, 1998.

Address reprint requests to Dr Kaseda, Department of Thoracic Surgery, Saiseikai Kanagawaken Hospital, 6-6 Tomiya-cho, Kanagawa-ku, Yokohama 221-0821, Japan
e-mail: kaseda{at}ra2.so-net.ne.jp

We used an ultrasonic scalpel, the Harmonic Scalpel (Ethicon Endo-Surgery, Cincinnati, OH), for limited thoracoscopic resection of the lung in 30 consecutive patients. There were no problems with bleeding in any of the 30 patients. After resection with Harmonic Scalpel the lung was closed with absorbable sutures. In 10 patients the operation was converted to lobectomy, and lymph node dissection was done because intraoperative histopathologic examination revealed lung cancer. Postoperative complications were not observed in the remaining 20 patients who had limited resection only. The Harmonic Scalpel is a useful tool for partial lung resection procedures.




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