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Minerva Surgery 2021 Apr 08

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

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


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BACKGROUND: The role of thulium laser in the treatment of interlobar fissures in lobectomy is not clear. We aim 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 was treated 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: Interlobar fissure; Air leaks; Thulium laser; Stapler

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