Powered articulation by the SigniaTM stapling system for stapling position adjustments: optimizing safe surgical margins in thoracoscopic sublobar resection.
Surg Today
; 51(3): 447-451, 2021 Mar.
Article
in English
| MEDLINE | ID: covidwho-1453756
ABSTRACT
Accumulation of experience and advances in techniques and instruments have enabled surgeons to perform video-assisted thoracic surgery (VATS) safely for sublobar resection, including segmentectomy and wedge resection. A key to successful VATS sublobar resection is to have adequate resection margins and the appropriate use of articulated surgical staplers is essential for this purpose. The SigniaTM stapling system (Covidien Japan, Tokyo) has been used extensively in the fields of thoracic surgery. Its features include high maneuverability with fully powered articulation, rotation, clamping, and firing, which the surgeon can control with one hand. We introduce the "sliding technique" using the SigniaTM system, which allows for adjustment of the resection lines of the pulmonary parenchyma to optimize safe surgical margins with minimal stapler movement, and without repetitively moving the stapler in and out of the pleural cavity, during VATS sublobar resection.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Pneumonectomy
/
Surgical Staplers
/
Surgical Stapling
/
Thoracic Surgery, Video-Assisted
/
Margins of Excision
/
Lung
/
Lung Neoplasms
Limits:
Humans
Language:
English
Journal:
Surg Today
Year:
2021
Document Type:
Article
Affiliation country:
S00595-020-02109-0
Similar
MEDLINE
...
LILACS
LIS