title: [Inferior pulmonary ligament spindle-shaped covering on the anastomotic orifice in the surgery of cardiac carcinoma: experience in 772 patients with no anastomotic leakage or stricture successively].
abstract: OBJECTIVE
  To prevent anastomotic leakage and stricture after the resection of cardiac carcinoma.
  
  
  METHODS
  Since complications are the main causes of postoperative death and poor living quality, we modified anastomotic method, and projected anastomotic orifice to be covered with inferior pulmonary ligament(IPL) in spindle shape.
  
  
  RESULTS
  From March 1987 to December 1996, 772 cases of cardiac carcinoma underwent surgical treatment with this method and no anastomotic leakage and stricture developed.
  
  
  CONCLUSIONS
  The IPL has strong ability to adhere and heal. Anastomotic orifice is covered tightly and safely. No forth row 13 needed in not introsed anastomotic orifice, thus preventing stricture, because of lung expanding, IPL adheres to anastomotic orifice tightly, making stump space disappeared. IPL possesses well tenacity and can be used easily.
authors.affiliation: Department of Thoracic Surgery, Fourth Affiliated Hospital, Hebei Medical University, Shijiazhuang 050011.
authors.forename: S
authors.initials: S
authors.lastname: Bai
authors.forename: X
authors.initials: X
authors.lastname: Meng
authors.forename: M
authors.initials: M
authors.lastname: He
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D002299:Cardia / Q000601:surgery*; D005260:Female; D006801:Humans; D008022:Ligaments; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D013274:Stomach Neoplasms / Q000601:surgery*