Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study
Abstract Background In segmentectomy, in addition to the anatomy of the segmental hilum, the identification and separation of the intersegmental plane is also an important step of the operation. Because of its simplicity and high efficiency, most thoracic surgeons choose the staplers. But the energy...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-02070-8 |
| _version_ | 1811198348705660928 |
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| author | Jiajun Han Hongjie Yu Haitao Ma |
| author_facet | Jiajun Han Hongjie Yu Haitao Ma |
| author_sort | Jiajun Han |
| collection | DOAJ |
| description | Abstract Background In segmentectomy, in addition to the anatomy of the segmental hilum, the identification and separation of the intersegmental plane is also an important step of the operation. Because of its simplicity and high efficiency, most thoracic surgeons choose the staplers. But the energy devices also have its unique advantages in the separation of the intersegmental plane. This study compared the clinical efficacy of staplers and energy devices in the separation of the intersegmental planes during the uniport thoracoscopic segmentectomy through the clinical data. Methods Clinical data of 89 patients undergoing uniport VATS lung segmentectomy from January 2019 to October 2020 at the First Affiliated Hospital of Soochow University were analyzed retrospectively. According to the different treatment methods of intersegmental plane, the patients were divided into two groups, 55 in the stapler group and 34 in the energy device group. The clinical data of the two groups were compared and analyzed statistically. And the univariate and multivariate logistic regression were also used to explore the influencing factors of postoperative complications. Results Lung segmentectomy was successfully operated in both groups. There were statistically significant differences in operative duration, number of staplers used, surgical expenses and postoperative complications (P < 0.05). In terms of general data, including tumor location, operative hemorrhage, drainage volume on the first postoperative day, total postoperative drainage volume, postoperative chest tube retention duration, postoperative hospital stay, postoperative blood routine indexes, and postoperative pulmonary function indexes after 3 months, no significant differences were observed (P > 0.05). Smoking history (OR 5.08, 95% CI 1.05–24.56, P = 0.043) and intersegmental plane treatment (OR 3.18, 95% CI 1.11–9.14, P = 0.031) were risk factors for postoperative complications. Patients of the energy device group had a higher incidence of postoperative complications. Conclusions In uniport thoracoscopic segmentectomy, the use of energy devices to treat the intersegmental plane will result in longer operative duration and higher postoperative complication rate, but it does not affect postoperative recovery and can help reduce surgical expenses. Both methods are safe and reliable. Clinically, the two methods can be reasonably selected according to the specific situation. |
| first_indexed | 2024-04-12T01:30:01Z |
| format | Article |
| id | doaj.art-b564a557880944f0bc4e2d8b6acd31cb |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-12T01:30:01Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-b564a557880944f0bc4e2d8b6acd31cb2022-12-22T03:53:32ZengBMCJournal of Cardiothoracic Surgery1749-80902022-12-011711810.1186/s13019-022-02070-8Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative studyJiajun Han0Hongjie Yu1Haitao Ma2Department of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal HospitalDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityAbstract Background In segmentectomy, in addition to the anatomy of the segmental hilum, the identification and separation of the intersegmental plane is also an important step of the operation. Because of its simplicity and high efficiency, most thoracic surgeons choose the staplers. But the energy devices also have its unique advantages in the separation of the intersegmental plane. This study compared the clinical efficacy of staplers and energy devices in the separation of the intersegmental planes during the uniport thoracoscopic segmentectomy through the clinical data. Methods Clinical data of 89 patients undergoing uniport VATS lung segmentectomy from January 2019 to October 2020 at the First Affiliated Hospital of Soochow University were analyzed retrospectively. According to the different treatment methods of intersegmental plane, the patients were divided into two groups, 55 in the stapler group and 34 in the energy device group. The clinical data of the two groups were compared and analyzed statistically. And the univariate and multivariate logistic regression were also used to explore the influencing factors of postoperative complications. Results Lung segmentectomy was successfully operated in both groups. There were statistically significant differences in operative duration, number of staplers used, surgical expenses and postoperative complications (P < 0.05). In terms of general data, including tumor location, operative hemorrhage, drainage volume on the first postoperative day, total postoperative drainage volume, postoperative chest tube retention duration, postoperative hospital stay, postoperative blood routine indexes, and postoperative pulmonary function indexes after 3 months, no significant differences were observed (P > 0.05). Smoking history (OR 5.08, 95% CI 1.05–24.56, P = 0.043) and intersegmental plane treatment (OR 3.18, 95% CI 1.11–9.14, P = 0.031) were risk factors for postoperative complications. Patients of the energy device group had a higher incidence of postoperative complications. Conclusions In uniport thoracoscopic segmentectomy, the use of energy devices to treat the intersegmental plane will result in longer operative duration and higher postoperative complication rate, but it does not affect postoperative recovery and can help reduce surgical expenses. Both methods are safe and reliable. Clinically, the two methods can be reasonably selected according to the specific situation.https://doi.org/10.1186/s13019-022-02070-8Lung segmentectomyEnergy deviceStaplerIntersegmental planePulmonary function |
| spellingShingle | Jiajun Han Hongjie Yu Haitao Ma Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study Journal of Cardiothoracic Surgery Lung segmentectomy Energy device Stapler Intersegmental plane Pulmonary function |
| title | Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study |
| title_full | Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study |
| title_fullStr | Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study |
| title_full_unstemmed | Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study |
| title_short | Staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy: a comparative study |
| title_sort | staplers versus energy devices for the intersegmental plane separation in thoracoscopic segmentectomy a comparative study |
| topic | Lung segmentectomy Energy device Stapler Intersegmental plane Pulmonary function |
| url | https://doi.org/10.1186/s13019-022-02070-8 |
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