Document Detail


Comparison of two automatic staplers for closing the bronchial stump after pulmonary resection.
MedLine Citation:
PMID:  10816067     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of complications following pulmonary resection using an automatic stapler was studied in 348 consecutive patients. A parallel-jaw stapler with two staple lines was used in group A (133 males, 101 females, mean age 66 years) between 1990 and 1995, and a hinged-jaw stapler with three staple lines in group B (70 males, 44 females, mean age 67 years) in 1995-1997. The incidence of bronchopleural fistula was 0.4% (1 patient) in group A and nil in group B. The incidence of intraoperative air leak requiring interrupted suture closure was 4.7% (11 patients) in group A and nil in group B (p < 0.05). Postoperative bronchopleural fistula did not develop in any of the cases, and there was no mortality. For management of the bronchial stump after pulmonary resection, the newer device firing three rows of staples is superior to the two-row device.
Authors:
O Kawashima; M Kamiyoshihara; S Sakata; S Ishikawa; Y Morishita
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Scandinavian cardiovascular journal : SCJ     Volume:  34     ISSN:  1401-7431     ISO Abbreviation:  Scand. Cardiovasc. J.     Publication Date:  2000  
Date Detail:
Created Date:  2000-07-14     Completed Date:  2000-07-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9708377     Medline TA:  Scand Cardiovasc J     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  87-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, National Sanatorium Nishigunma Hospital, Shibukawa, Gunma, Japan. kawashimao@nngh.hosp.go.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Bronchi / surgery*
Female
Humans
Incidence
Intraoperative Complications
Male
Middle Aged
Pneumonectomy / adverse effects,  methods*
Postoperative Complications
Retrospective Studies
Surgical Staplers*
Suture Techniques / adverse effects,  instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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