General thoracic and cardiovascular surgery · 2020
Endoscopic resection of tracheal lobular capillary haemangioma with ultrasonically activated device.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Fiorelli Alfonso, Accardo Marina, Venetucci Pietro, Cascone Roberto, Carlucci Annalisa, Noro Antonio, Ferrara Vincenzo, Natale Giovanni, Napolitano Vincenzo, Santini Mario
Аннотация
We reported the case of a 55-year-old man with a large tracheal lobular capillary haemangioma attached to posterior tracheal wall and successfully managed with arterial embolization followed by endoscopic resection using Harmonic™ ACE Plus. Because of the high risk of bleeding, Harmonic™ was used in this case due to its ability to cut and cauterize simultaneously. The instrument jaw repeatedly grasped the attachment point of tumor, and then the cavitation effect, created by the longitudinal vibration of the blade tip, separated it from the posterior tracheal wall, reducing the risk of perforation. Yet, the ultrasonic energy denatured proteins and coagulated the vessels, preventing the bleeding during resection. No complications occurred during and after the procedure. Twelve-month follow-up showed no recurrence.