Parenchymal Stapling in Pulmonary Lobectomies: Is it Really Necessary?
Makaleler > Tam Makale · 1999
Yazarlar: Ufuk ÇAĞIRICI, Semra Bilaçeroğlu, Hakan POSACIOĞLU, Yüksel ATAY, Tahir YAĞDI
Asian Cardiovascular and Thoracic Annals, SCI Expanded İndekslerine Giren Dergi, Uluslararası, Scopus, 1999, cilt 7, ss 225-227
DOI: 10.1177/021849239900700314
Özet
Automatic stapling devices are widely used for pulmonary exeresis, particularly in wedge or segmental resections. Infrequently, these instruments are also employed in lobectomies for the division of incomplete fissures. A prospective randomized study was undertaken to determine the efficacy of staplers in performing a lobectomy. Among 102 lobectomy patients, 59 (44 men, 15 women) who had incomplete fissures were included in the study. A stapler was used in 38 patients for completion of the fissures, whereas sharp dissection and the classic suture closure technique were employed in the remaining 21 patients. Duration of air leakage postoperatively did not differ significantly (p > 0.05) but the operation time was found to be shorter in the stapled-lobectomy group (67.63 ± 13.7 min versus 85.71 ± 18.3 min; p < 0.001).