ORIGINAL ARTICLE   

Minerva Surgery 2021 October;76(5):436-43

DOI: 10.23736/S2724-5691.21.08386-3

Copyright © 2021 EDIZIONI MINERVA MEDICA

lingua: Inglese

A randomized trial of who is better at treating the incomplete pulmonary fissure between stapler and thulium laser

Jun ZHANG, Zhenrong ZHANG, Deruo LIU ✉, Weipeng SHAO, Hongxiang FENG

China-Japan Friendship School of Clinical Medicine, Department of General Thoracic Surgery, China-Japan Friendship Hospital, Peking University, Beijing, China

BACKGROUND: The role of thulium laser in the treatment of interlobar fissures in lobectomy is not clear. We aimed to evaluate the safety, effectiveness and economy of thulium laser in the treatment of incomplete interlobar fissure during lobectomy.
METHODS: A total of 76 patients were randomly divided into two groups: laser group and stapler group. The laser group was treated with thulium laser and the stapler group with stapler.
RESULTS: Compared with stapler group, the laser group had a longer operation time, more postoperative drainage and lower operation cost, while there was no significant difference in hospitalization time, postoperative air leakage time and chest tube duration.
CONCLUSIONS: Thulium laser is safe and effective in the treatment of incomplete interlobar fissure during lobectomy and can reduce the cost.

KEY WORDS: Surgical staplers; Thulium; Lasers