Thoracoscopic resection of the lung with the ultrasonic scalpel

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Presentation transcript:

Thoracoscopic resection of the lung with the ultrasonic scalpel Teruhiro Aoki, MD, Shizuka Kaseda, MD The Annals of Thoracic Surgery Volume 67, Issue 4, Pages 1181-1183 (April 1999) DOI: 10.1016/S0003-4975(99)00134-4

Fig 1 Photograph of our Harmonic Scalpel with laparoscopic coagulation shears. During resection of lung parenchyma the blunt blade was used. The Annals of Thoracic Surgery 1999 67, 1181-1183DOI: (10.1016/S0003-4975(99)00134-4)

Fig 2 Schema of limited lung resection with the Harmonic Scalpel. The top left diagram shows lung and nodule. During the video-assisted thoracic operation the lung was resected in the collapsed condition (top right). When the lung was reexpanded, the resected surfaces were comparatively inflexible compared to the surrounding tissue, so that they invaginated slightly into the lung (bottom right). The resected surface was sutured (bottom left). The Annals of Thoracic Surgery 1999 67, 1181-1183DOI: (10.1016/S0003-4975(99)00134-4)