Pafko P, Lischke R, Schützner J, Simonek J, Stolz A
III. chirurgická klinika 1. LF UK, FN Motol, Praha.
Rozhl Chir. 2000 Jun;79(6):207-9.
Bronchial anastomosis is as to the number of complications the most risky anastomosis of transplanted lungs. The most suitable of hitherto used techniques is simple suture with continuous stitches or individual absorbable stitches. The authors prefer the latter technique. They performed a total of 34 bronchial anastomoses. In none dehiscence or stenosis of the anastomosis was occurred. In case of complication of the anastomosis, surgeons often consider the cause of the failure to be ischaemia of the border of the tissue at the time of suture of the anastomosis, corticoid treatment or a poor nutritional status of the patient. The authors cannot confirm the above statements from their own experience, similarly as other authors. They are however aware of the fact that their group of anastomoses is small.