Department of Cardiothoracic Surgery, The First People's Hospital of Yunnan Province, Kunming University of Science and Technology, Kunming 650032, China.
J Thorac Dis. 2013 Dec;5(6):864-7. doi: 10.3978/j.issn.2072-1439.2013.11.34.
A 68-year-old lady felt chest pain with tenderness of three years duration, who was a diagnosis of adenocarcinoma cell lung cancer. The accesses employed were based on the use of three ports through thoracoscope. With Harmonic scalpel all the hilar structures were isolated and separately sectioned, and systemic lymph node dissection was performed. Postoperative pathologic diagnosis was T2bN0M0 adenocarcinoma. Harmonic scalpel technique with video-assisted thoracoscopy surgery (VATS) has many advantages over traditional open thoracotomy and use of electrocautery for lobectomy in lung cancer surgery. Chief among these is greater patient safety. With Harmonic scalpel dissection, blood loss is minimal and this speeds patient recovery. It allows better visualization of key anatomic structures and permits better lymph node dissection, which is essential to reducing metastatic spread of the cancer.
一位 68 岁的女士感到胸痛，伴有三年的压痛，被诊断为腺癌肺癌细胞。采用的通道是基于使用胸腔镜的三个端口。使用 Harmonic 超声刀分离所有的肺门结构并分别进行节段切除，并进行全身淋巴结清扫。术后病理诊断为 T2bN0M0 腺癌。与传统的开胸手术和电烙术用于肺癌手术的肺叶切除术相比，超声刀技术联合电视辅助胸腔镜手术（VATS）有许多优点。其中最重要的是患者更安全。使用 Harmonic 超声刀进行解剖，出血量极少，这加速了患者的康复。它可以更好地观察关键的解剖结构，并允许更好地进行淋巴结清扫，这对于减少癌症的转移扩散至关重要。
