Resection and stapling technique for wide-based giant bullae in video-assisted thoracic surgery using a new end-stapler.
In video-assisted thoracic surgery (VATS), stapling resection for wide-based giant bullae requires a large-volume reduction of normal lung parenchyma and is technically difficult because of the lack of holding and stapling ability of the end stapler for the thick lung parenchyma. A new end-stapler device, the Echelon 60 Endopath stapler (60-mm stapling), has a long, strong anvil and a wide jaw aperture and is able to easily hold thick lung parenchyma. This device is able to divide with precise stapling over a long incision. In VATS management for two recent cases of broad-based giant bullae, this new device was used instead of suture closure and easily achieved stapled closure after excision of the bulla wall. This method prevents large-volume reduction of normal lung and enables an easy, fast, and reliable suture along a precise stapling line.
Tokai University Hachioji Hospital, 1838 Isikawa, Hachioji, Tokyo 192-0032, Japan. yamada.shunsuke@hachioji-hosp.tokai.ac.jp
Shunsuke
S
Yamada
Kazuho
K
Yoshino
Hiroshi
H
Inoue
D000328:Adult; D001768:Blister / Q000150:complications / Q000473:pathology / Q000601:surgery*; D004867:Equipment Design; D006801:Humans; D008297:Male; D008875:Middle Aged; D011656:Pulmonary Emphysema / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013528:Surgical Staplers; D017792:Surgical Stapling / Q000295:instrumentation*; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation* / Q000379:methods; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome