Surgical techniques using low-power monopolar scissors in robotic-assisted thoracic surgery.

IF 2.4 3区 医学 Q2 SURGERY
Tatsuo Nakagawa, Yuki Ohsumi, Ei Miyamoto, Masashi Gotoh
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引用次数: 0

Abstract

We analyzed the electrical characteristics of the da Vinci system's low-power monopolar coagulation mode with an electrocautery analyzer to determine its suitability as an alternative to monopolar soft coagulation mode. The voltage at the plateau of the power limit between 15 and 16 W and between 23 and 24 W of the forced coagulation mode of the da Vince system was close to that of the effect 8 and 10 of the soft coagulation mode, respectively. Experiments using chicken meat and an infrared thermographic camera confirmed the safety and effectiveness of low-power monopolar coagulation mode showing no carbonization at temperatures below 90 °C. In 73 robotic-assisted lung resection using low-power coagulation mode, no electric spark or carbonization was observed and all cauterizations were similar to soft coagulation mode. In conclusion, Forced coagulation mode of the da Vinci system can be used as an alternative to monopolar soft coagulation mode with appropriate effect and power limit settings.

在机器人辅助胸外科手术中使用低功率单极子剪刀的手术技术。
我们用电蚀分析仪分析了达芬奇系统的低功率单极子凝血模式的电特性,以确定其作为单极子软凝血模式的替代方案的适用性。强制混凝模式的da Vince系统在功率极限15 ~ 16 W和23 ~ 24 W的平台电压分别接近软混凝模式效应8和效应10的平台电压。用鸡肉和红外热像仪进行的实验证实了低功率单极子混凝模式的安全性和有效性,在低于90°C的温度下没有碳化。在73例采用低功率凝血模式的机器人辅助肺切除术中,未观察到电火花或碳化,所有烧灼与软凝模式相似。综上所述,通过适当的效果和功率限制设置,达芬奇系统的强制凝固模式可以作为单极软凝固模式的替代方案。
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来源期刊
Updates in Surgery
Updates in Surgery Medicine-Surgery
CiteScore
4.50
自引率
7.70%
发文量
208
期刊介绍: Updates in Surgery (UPIS) has been founded in 2010 as the official journal of the Italian Society of Surgery. It’s an international, English-language, peer-reviewed journal dedicated to the surgical sciences. Its main goal is to offer a valuable update on the most recent developments of those surgical techniques that are rapidly evolving, forcing the community of surgeons to a rigorous debate and a continuous refinement of standards of care. In this respect position papers on the mostly debated surgical approaches and accreditation criteria have been published and are welcome for the future. Beside its focus on general surgery, the journal draws particular attention to cutting edge topics and emerging surgical fields that are publishing in monothematic issues guest edited by well-known experts. Updates in Surgery has been considering various types of papers: editorials, comprehensive reviews, original studies and technical notes related to specific surgical procedures and techniques on liver, colorectal, gastric, pancreatic, robotic and bariatric surgery.
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