Satoh Yukitoshi, Hayashi Shoko, Yamazaki Hirotsugu, Mikubo Masashi, Naito Masahito, Shiomi Kazu
Department of Thoracic Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Kyobu Geka. 2014 Mar;67(3):225-8.
Stapling systems can significantly improve lung tissue approximation during open and video-assisted thoracic surgery. We here evaluated an iDrive Ultra powered stapling system for lung resection.
The iDrive Ultra powered stapling system( Covidien) is the powered version of the EndoGIA stapling system. It comprises hand-held control unit combined with a loading unit,which is a powered EndoGIA- cartridges, for use in open and minimally invasive thoracic surgery. The mounted control unit has uses as follows:controlling the accurate placement of the cartridge by orientating the tip of the rigid shaft;and controlling the closure of the stapler and the firing. From April to July 2013, the system was used for a consecutive series of 15 patients during thoracic lung surgery.
There were 6 women and 9 men, with a mean age of 62 years. The following procedures were performed:lobectomies, segmentectomies, and wedge resections. The system was used for stapling lung parenchyma for wedge resection(5 patients), segmentectomy( 2 patients), or fissure division (9 patients). There were no stapling failures and no complications related to use of the staplers.
The new powered and handy stapling system is safe and efficient for lung resection.
吻合器系统可显著改善开胸手术和电视辅助胸腔镜手术中肺组织的对合。我们在此评估了一种用于肺切除的iDrive Ultra动力吻合器系统。
iDrive Ultra动力吻合器系统（柯惠医疗）是EndoGIA吻合器系统的动力版本。它包括一个手持式控制单元和一个装载单元，装载单元是一个动力EndoGIA钉仓，用于开胸和微创胸外科手术。已安装的控制单元有以下用途：通过定位刚性轴的尖端来控制钉仓的精确放置；控制吻合器的闭合和击发。2013年4月至7月期间，该系统在15例胸科肺手术患者中连续使用。
患者中女性6例，男性9例，平均年龄62岁。实施了以下手术：肺叶切除术、肺段切除术和楔形切除术。该系统用于楔形切除术（5例）、肺段切除术（2例）或肺裂离断术（9例）时对肺实质进行吻合。没有吻合失败的情况，也没有与吻合器使用相关的并发症。
新型动力便捷吻合器系统用于肺切除安全有效。
