6533b7d2fe1ef96bd125e9eb
RESEARCH PRODUCT
Maschineller und manueller Bronchusverschlu� ?ergebnisse einer konsekutiven untersuchungsserie
H. PichlmaierTh. JungingerSiegfried Walgenbachsubject
medicine.medical_specialtybusiness.industrymedicine.medical_treatmentAnastomosisVascular surgerySurgeryCardiac surgeryPneumonectomyCardiothoracic surgerySurgical StaplersBronchial neoplasmmedicineSurgerybusinessAbdominal surgerydescription
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 Koln-Lindenthal and the Clinic for General and Abdominal Surgery of the Johannes-Gutenberg-Universitat 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.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 1989-11-01 | Langenbecks Archiv f�r Chirurgie |