Case report of using curved tip electrothermal bipolar coagulation to improve hilar dissection in VATS lobectomy

Abstract

Introduction: Thoracoscopic lobectomy has gained a pivotal role in the resection of lung cancer. To facilitate the minimally invasive approach, new surgical devices have been developed to help improve the feasibility of performing complex cases. Recently, we adopted the use of a 5mm curved tip electrothermal bipolar sealing device.

Presentation of case: We highlight two patients with different type of hilum during VATS lobectomy. First patient had a peripheral lung cancer with simple hilum while second patient had bronchiectasis with very complex hilum. In both cases, use of 5mm curved tip electrothermal bipolar sealing device helped in successful completion of video-assisted thoracoscopic lobectomy.

Discussion: In these two cases, we were able to take advantage of the 5mm curved tip electrothermal bipolar sealing device in completion of the hilar dissection.

Conclusion: Curved tip electrothermal bipolar sealing device allows complete dissection of hilar structures more easily during a lobectomy for simple and complex hilum. Use of this device may lead to more efficient VATS lobectomy.

Keywords: Case report; Electrothermal bipolar coagulation; Lobectomy; Lung cancer; Video assisted thoracic surgery.