[Mechanical staplers in exeresis surgery of pulmonary cancer].
Surgical stapling devices are widespread in many branches of surgery and are employed with success in thoracic surgery. Our experience is in line with that of other Authors: stapling of the bronchus is faster, does not contaminate the operative field and reduces the incidence of bronchopleural fistulas (4.76% to 1.59%). Parenchymal stapling is indicated for resection of bullae, metastases and peripheral lesions. The mechanical suture is air-tight and faster than manual suture. Pulmonary vessels may also be closed mechanically; however, we do not advocate the use of stapling devices especially in the closure of the pulmonary artery.
Ricci
C
C
Cattedra di Chirurgia Toracica, Università degli Studi La Sapienza, Roma.
Rendina
E A
EA
Venuta
F
F
Martelli
M
M
Ciriaco
P
P
D000368:Aged; D001980:Bronchi / Q000601:surgery; D001983:Bronchial Fistula / Q000209:etiology; D005402:Fistula / Q000209:etiology; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D009362:Neoplasm Metastasis; D010995:Pleural Diseases / Q000209:etiology; D011013:Pneumonectomy; D011183:Postoperative Complications; D013528:Surgical Staplers; D013536:Suture Techniques
Le suturatrici meccaniche nella chirurgia di exeresi del cancro del polmone.