[Stapler and manual bronchial anastomosis--results of a consecutive trial series].
After lobectomy and pneumonectomy in experimental evaluations stapled bronchial closures showed the lowest incidence of inflammatory reaction and the highest strength determined by leakage pressure compared with other suture material. A total of 233 lung resections-performed at Surgical University Clinic Köln-Lindenthal and the Clinic for General and Abdominal Surgery of the Johannes-Gutenberg-Universität Mainz--were reviewed. Mechanical stapling reduced the rate of bronchopleural fistulas to 2.0% compared with 7.1% after manual suturing. In parallel, mortality related to bronchial stump leakage decreased to 0.7%. Main advantages of bronchial closure with staplers are the simplicity of their use, the speed and the uniformity of the closure. Thereby stapling devices are valuable completions in pulmonary surgery.
Junginger
T
T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie der Johannes Guttenberg Universität, Mainz.
Walgenbach
S
S
Pichlmaier
H
H
D001980:Bronchi / Q000601:surgery*; D001984:Bronchial Neoplasms / Q000601:surgery*; D002283:Carcinoma, Bronchogenic / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D011013:Pneumonectomy / Q000295:instrumentation / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology*; D013528:Surgical Staplers; D013529:Surgical Wound Dehiscence / Q000209:etiology
Maschineller und manueller Bronchusverschluss--Ergebnisse einer konsekutiven Untersuchungsserie.