Rib resection using a pneumatic high-speed power drill system for lung cancer with chest wall invasion: our clinical experience

Ueda, Yoshimichi; Nakagawa, Tatsuo; Toyazaki, Toshiya; Chiba, Naohisa; Gotoh, Masashi

doi:10.1007/s00595-016-1437-y

Cited by 6 publications

(4 citation statements)

References 10 publications

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“…20 In addition to spine surgery, it has also been applied to other surgeries requiring bone resection. 9,21 The advantages of a surgical air drill are as follows: (i) easy to use; (ii) it enables quick and precise bone cuts without damaging surrounding tissues; and (iii) it results in flat bone surface. Handling of the drill is easy, even for inexperienced urologists, and we found that no difficulties were reported in any of our cases.…”

Section: Discussionmentioning

confidence: 99%

“…A high‐speed air drill has been considered indispensable for spine surgery 20 . In addition to spine surgery, it has also been applied to other surgeries requiring bone resection 9,21 . The advantages of a surgical air drill are as follows: (i) easy to use; (ii) it enables quick and precise bone cuts without damaging surrounding tissues; and (iii) it results in flat bone surface.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, it is optimal to use a less traumatic and easy‐to‐operate device when carrying out pubectomies. High‐speed air drills have been widely used in a variety of surgeries, as they are less traumatic, and enable delicate and precise bone resection 8–10 . In the present study, we retrospectively reviewed the usefulness of high‐speed air drills in pubectomies during delayed anastomotic urethroplasty for PFUI.…”

Section: Introductionmentioning

confidence: 99%

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Usefulness of a high‐speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury

Horiguchi

Ojima

Shinchi³

et al. 2020

Int J of Urology

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Objectives: Pubectomy is an ancillary technique used to increase exposure of the disrupted urethra and reduce anastomotic tension, which can be difficult for inexperienced surgeons. The objective of the present study was to illustrate the use of an air drill enabling delicate and precise bone resection in pubectomy for delayed anastomotic urethroplasty for pelvic fracture urethral injury. Methods: Between 2009 and 2019, 88 male patients underwent delayed anastomotic urethroplasty with pubectomy for pelvic fracture urethral injury. A total of 73 procedures used a high-speed surgical air drill (HiLAN HS; Aesculap, Tuttlingen, Germany) equipped with a shorthand piece. Operative time and blood loss in the air drill patient group (group 1) were compared with that of patients who underwent pubectomy using a rongeur and/or gouge (group 2, n = 15). Results: In 65 group 1 patients, urethroplasty was carried out using the perineal approach, with partial inferior pubectomy. Eight group 1 patients, whose proximal urethral end was displaced upward superior to the upper edge of pubis, underwent urethroplasty using the perineal and abdominal approach, with a superior partial pubectomy and supracrural urethral rerouting. No difficulty was encountered using the air drill in any of the cases. There was no significant difference in median operative time between the groups (group 1 256 min vs group 2 228 min; P = 0.31). The median blood loss in group 1 was significantly lower than group 2 (149 mL vs 453 mL; P < 0.0001). Conclusions: Surgical air drills might facilitate pubectomy in patients undergoing delayed anastomotic urethroplasty for pelvic fracture urethral injury. This tool offers the advantage of a delicate bone resection with reduced blood loss.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Usefulness of a high‐speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury

Horiguchi

Ojima

Shinchi³

et al. 2020

Int J of Urology

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“…The chest wall is the most frequently neighboring structure involved in locally advanced lung tumors and its resection is required for a radical treatment (8).…”

Section: Discussionmentioning

confidence: 99%

Chest wall resection and reconstruction by composite prosthesis for locally recurrent breast carcinoma

et al. 2020

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Thoracoscopic resection of parosteal lipoma of the rib using orthopedic electric micro drill

Nakajima

Yokota

et al. 2018

Gen Thorac Cardiovasc Surg

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Parosteal lipoma derived from the rib is extremely rare and is usually resected through open thoracotomy despite its benign nature. A 33-year-old man who had no symptoms was referred to our hospital for treatment of a 30-mm chest wall mass that has slightly increased in size during 2 years of follow-up. En bloc resection of the tumor with parts of the 3rd and 4th ribs was performed through a complete thoracoscopic approach using orthopedic electric micro drill. This was the first report on a case of parosteal lipoma of the rib that was resected by a complete thoracoscopic procedure.

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Rib resection using a pneumatic high-speed power drill system for lung cancer with chest wall invasion: our clinical experience

Cited by 6 publications

References 10 publications

Usefulness of a high‐speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury

Usefulness of a high‐speed surgical air drill in pubectomy during delayed anastomotic urethroplasty for pelvic fracture urethral injury

Chest wall resection and reconstruction by composite prosthesis for locally recurrent breast carcinoma

Thoracoscopic resection of parosteal lipoma of the rib using orthopedic electric micro drill

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