Habib 4X射频止血切割器在胸膜恶性肿瘤手术中的应用

Application of Habib 4X in malignancy pleural tumor resection

目的:评价Habib 4X射频止血切割器在胸膜恶性肿瘤手术中的应用价值。方法:回顾性分析2010年10月至2011年2月哈尔滨医科大学附属第四医院胸外科应用Habib 4X射频止血切割器对16例胸膜恶性肿瘤患者施行手术的临床效果。结果:应用Habib 4X射频止血切割器成功完成16例胸膜恶性肿瘤手术,其中胸腔镜手术11例,开胸手术5例。肿瘤完整切除5例,11例达到肿瘤胸腔根治。平均手术时间(60±35)min,平均出血量(135±95)mL,术后仅1名患者进入ICU,且所有患者均无术后胸腔出血、肺感染、刀口感染和围手术期死亡。术后平均住院时间(9±6)d。结论:在胸膜恶性肿瘤切除术中应用Habib 4X射频止血切割器可使肿瘤及边缘部分组织脱水凝固坏死,闭合局部血管,可明显减少术中出血,降低术后并发症的发生率,使胸膜恶性肿瘤切除过程更安全、快捷。

Objective To evaluate the value of using Habib 4X in malignancy pleural tumor resection. Methods All 16 patients with malignancy pleural tumor were received tumor resection at The Fourth Affiliated Hospital of Harbin Medical University. All the operations were carried out by using Habib 4X. Parameters concerning clinical efficacy and safety were compared in those patients. Results All patients received pleural tumor resection or radiofrequency ablation, including thoracoscope operation in eleven patients and open thoracic operation in five patients. Five tumors were resected completely. Eleven pleural dissemination tumors were cured. The mean operation time was （60 ± 35）minutes and the mean blood loss was （135 ± 95）mL. Only one patient was transferred to ICU. No patient occurred postoperation hemorrhage, lung infection and incision infection. No mortality was observed. The mean hospital postoperative stayed （9 ± 6） days. Conclusions Using Habib 4X in the opretion can make the minimal hemorrhage and low complication, through radiofrequency ablation the tumor margins to create zones of necrosis before resection with a scalpel, so the operation assisted with Habib 4X is more safe and fast.