Kataoka D, Tomita Y, Fukayama M, Kadokura M, Yamochi T, Ota H, Kushima M
Division of Chest Surgery, Department of Surgery, Showa University, Tokyo, Japan.
Kyobu Geka. 2011 Apr;64(4):323-9.
The purpose of performing pleural cauterization is developing heat denaturation, and we can induce pleural thickening and also reduce the bullae by shrinking the pleura It originates in a method of the cauterization whether there will be tissue damage. So a safe and reliable method of cauterization is required. Here, we investigated the indications for and effectiveness of cauterization techniques performed at our facility. We perform cauterization while dropping saline solution, so when using a Salient Monopolar Sealer, we can avoid excessive thermo-coagulation and more easily control cauterization. Furthermore, on the basis that only emphysematous pleura will turn white on cauterization, bullae can be distinguished, which is particularly effective in the case of lesions with unclear borders. In the case of a large emphysematous bulla, shrinkage of the bulla by cauterization can provide a sufficient surgical field, and a smaller lesion can then be stapled.
进行胸膜烧灼术的目的是产生热变性，我们可以通过使胸膜收缩来诱导胸膜增厚并减少肺大疱。烧灼术是否会造成组织损伤取决于其方法。因此，需要一种安全可靠的烧灼术方法。在此，我们研究了在我们机构进行的烧灼术技术的适应症和有效性。我们在滴注生理盐水的同时进行烧灼术，所以当使用突出单极密封器时，我们可以避免过度热凝并更轻松地控制烧灼。此外，基于只有气肿性胸膜在烧灼时会变白这一点，可以区分肺大疱，这在边界不清晰的病变情况下特别有效。对于较大的气肿性肺大疱，通过烧灼使肺大疱缩小可以提供足够的手术视野，然后可以对较小的病变进行缝合。
