초록접수 현황
| 17F-062 | 포스터 발표 |
The Effect of Energy Device in Video-assisted Thoracic Surgery Lobectomy
Yoohwa Hwang, Hyeon Jong Moon
Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea
Purpose : Video-assisted thoracic surgery (VATS) lobectomy has come into widespread use for treatment of early lung cancer. VATS lobectomy would require an energy device for dissection and securing hemostasis instead of cauterization. We aimed to find the clinical effect of energy device.
Methods : 233 consecutive patients who underwent VATS lobectomy for lung cancer were included from 2011 January to 2016 December. We retrospectively investigated operative records and clinical informations including age, gender, smoking history, pulmonary function test, clinical stage, surgery duration, chest tube indwelling duration (day), and length of hospital stay (day), chest tube drains, transfusion amount, complications.
Results : After 2013 August, patients were operated on using the energy device. 233 patients were divided into conventional electrocautery operation(CE) group and energy device operation(ED) group. CE group was 83 patients (35.6%) and ED group 150. Surgery duration for CE group longer than that for DE group (309 vs. 207 minute, respectively. P=0.006). Chest tube indwelling duration and length of hospital stay in CE group was longer (6.5 vs. 6.0 days, P=0.38; 10.5 vs. 8.4days, P=0.005). Dissected lymph node counts and chest tube drains for postoperative two days were similar (27.2 vs 28.6, P=0.87; 592 vs 536 ml P=0.75).
Conclusion : The using of energy device seems to have an effect on the operation time despite of the change in the learning period and in operative technical policy.
Methods : 233 consecutive patients who underwent VATS lobectomy for lung cancer were included from 2011 January to 2016 December. We retrospectively investigated operative records and clinical informations including age, gender, smoking history, pulmonary function test, clinical stage, surgery duration, chest tube indwelling duration (day), and length of hospital stay (day), chest tube drains, transfusion amount, complications.
Results : After 2013 August, patients were operated on using the energy device. 233 patients were divided into conventional electrocautery operation(CE) group and energy device operation(ED) group. CE group was 83 patients (35.6%) and ED group 150. Surgery duration for CE group longer than that for DE group (309 vs. 207 minute, respectively. P=0.006). Chest tube indwelling duration and length of hospital stay in CE group was longer (6.5 vs. 6.0 days, P=0.38; 10.5 vs. 8.4days, P=0.005). Dissected lymph node counts and chest tube drains for postoperative two days were similar (27.2 vs 28.6, P=0.87; 592 vs 536 ml P=0.75).
Conclusion : The using of energy device seems to have an effect on the operation time despite of the change in the learning period and in operative technical policy.
책임저자: Hyeon Jong Moon
Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Seoul National University College of Medicine, Seoul, Republic of Korea
발표자: Hyeon Jong Moon, E-mail : moon730@brmh.org