HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Eichfeld, U. Articles by Friedrich, T. Search for Related Content PubMed PubMed Citation Articles by Eichfeld, U. Articles by Friedrich, T.

Ann Thorac Surg 2000;70:1181-1184
© 2000 The Society of Thoracic Surgeons

---

Original articles: general thoracic

Evaluation of ultracision in lung metastatic surgery

^a Department of Surgery I, General Surgery, Surgical Oncology and Thoracic Surgery, Leipzig, Germany
^b Institute of Pathology, University of Leipzig, Leipzig, Germany

Address reprint requests to Dr Eichfeld, Department of Surgery I, General Surgery, Surgical Oncology and Thoracic Surgery, Liebigstrasse 20a, 04103 Leipzig, Germany
e-mail: eichu{at}medizin.uni-leipzig.de

Background. There are very few studies on the histological outcome of lung metastatic surgery using the Ultracision particularly in deeper areas of the lung.

Methods. In a prospective study, we resected 24 lung metastases from 18 patients using the Ultrasonic scalpel (Ethicon Endo-Surgery, Norderstedt, Germany). We analyzed the risk of bleeding and air leakage as well as the histopathological features of the resection area.

Results. There was no intraoperative bleeding and, in 72%, no intraoperative air leakage. The resection surface was closed with a suture. In 8 cases, the metastases were located deeply, near the hilus of the lobe which did not necessitate a lobectomy. Histologically, occluded blood vessels as well as occluded small bronchioli under 0.1 cm were observed. There was no evidence of deep tissue destruction. No postoperative complications occurred.

Conclusions. Ultracision in metastatic lung surgery is an appropriate method of treatment with minimum risk of bleeding or air leakage. This procedural approach allows for adequate resection of lung metastases while sparing a generous amount of healthy lung tissue.

This article has been cited by other articles:

				T. F. Molnar, I. Benko, Z. Szanto, T. Laszlo, and O. P. Horvath Lung biopsy using harmonic scalpel: a randomised single institute study Eur. J. Cardiothorac. Surg., October 1, 2005; 28(4): 604 - 606. [Abstract] [Full Text] [PDF]