Control and division of the hilar vessels is a crucial step in performing minimally invasive pulmonary lobectomy safely and efficiently. Hem-o-lok clips (Teleflex Medical, Inc, Reading, Pa) were first introduced in 1999 and have already been used and validated for laparoscopic nephrectomy,1 as well as other urologic and general surgery procedures. They are nonabsorbable polymer clips characterized by a lock-engagement feature, which ensures the closure of the clip itself, and teeth within the jaws, designed to prevent slippage. Hem-o-lok clips come in 4 sizes. Their curved shape helps the surgeon to surround the vessels. Three applicator tools have been developed: one for open surgery, one for endoscopic surgery, and another for robotic surgery. Applicators for open surgery come in 2 forms: angular or straight. The endoscopic device is only straight, whereas the robotic device is assembled on the robotic EndoWrist instrument (Intuitive Surgical, Inc, Mountain View, Calif) and has 7 degrees of mobility. To test this surgical device on pulmonary artery branches, we performed a prospective trial on consecutive cases of pulmonary lobectomies performed through a minithoracotomy.
Polymer self-locking clips for vascular control during minimally invasive pulmonary lobectomies
LUCCHI, MARCO;MELFI, FRANCA;MUSSI, ALFREDO
2010-01-01
Abstract
Control and division of the hilar vessels is a crucial step in performing minimally invasive pulmonary lobectomy safely and efficiently. Hem-o-lok clips (Teleflex Medical, Inc, Reading, Pa) were first introduced in 1999 and have already been used and validated for laparoscopic nephrectomy,1 as well as other urologic and general surgery procedures. They are nonabsorbable polymer clips characterized by a lock-engagement feature, which ensures the closure of the clip itself, and teeth within the jaws, designed to prevent slippage. Hem-o-lok clips come in 4 sizes. Their curved shape helps the surgeon to surround the vessels. Three applicator tools have been developed: one for open surgery, one for endoscopic surgery, and another for robotic surgery. Applicators for open surgery come in 2 forms: angular or straight. The endoscopic device is only straight, whereas the robotic device is assembled on the robotic EndoWrist instrument (Intuitive Surgical, Inc, Mountain View, Calif) and has 7 degrees of mobility. To test this surgical device on pulmonary artery branches, we performed a prospective trial on consecutive cases of pulmonary lobectomies performed through a minithoracotomy.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
