Limitations
chest drainage volume
COMPLICATION, COMPLICATIONS
The study has several limitations. First, it was not possible to conceal the type of intervention – dissection with LigaSure versus monopolar device – from the surgeons who performed the operations. Secondly, methodological limitations may have resulted in the non-detection of the differences in intra-esophageal temperature and energy-dissipation-related complications between the groups. Since severe damage to organs directly resulting from the use of electrosurgical devices is a highly improbable complication with a potentially catastrophic impact [We conclude that the application of the LigaSure device did not reduce chest drainage volume and did not improve short-term outcomes of VATS lobectomy and lymphadenectomy compared to monopolar electrosurgical device. The number of lymph nodes removed during lymphadenectomy was increased with the LigaSure device, which requires evaluation in subsequent studies.