Rusch V W, Schmidt R, Shoji Y, Fujimura Y
Thoracic Surgery Service, Memorial Sloan-Kettering Cancer Center, New York, NY 10021.
Ann Thorac Surg. 1990 Feb;49(2):287-91. doi: 10.1016/0003-4975(90)90153-w.
The argon beam electrocoagulator (ABC) is a new form of electrocautery that is thought to be more effective than standard electrocautery. It has been used primarily in procedures associated with major blood loss such as liver transplantation and laparotomy for trauma. It has not been used in thoracic operations. We evaluated the safety and efficacy of the argon beam electrocoagulator for performing pulmonary wedge resections in an animal model by comparing it with standard electrocautery and suture closure. Variables used to compare the three methods of resection included perioperative blood loss, duration of chest tube air leak, and depth of necrosis and severity of inflammatory reaction in the lung at ten days and 3 weeks after resection. The argon beam electrocoagulator was as effective as standard electrocautery and suture closure in controlling air leaks, and caused less acute tissue injury than standard electrocautery. The argon beam electrocoagulator provides a safe and effective method for performing small pulmonary wedge resections, and should be evaluated in the clinical setting for this purpose.
氩束电凝器（ABC）是一种新型的电灼设备，被认为比标准电灼更有效。它主要用于与大量失血相关的手术，如肝移植和创伤剖腹手术。尚未用于胸科手术。我们通过将氩束电凝器与标准电灼和缝合关闭进行比较，在动物模型中评估了其用于肺楔形切除术的安全性和有效性。用于比较三种切除方法的变量包括围手术期失血量、胸管漏气持续时间以及切除后10天和3周时肺内坏死深度和炎症反应严重程度。氩束电凝器在控制漏气方面与标准电灼和缝合关闭一样有效，并且比标准电灼造成的急性组织损伤更小。氩束电凝器为进行小范围肺楔形切除术提供了一种安全有效的方法，为此应在临床环境中进行评估。
