Ogawa J, Tsurumi T, Yamada S, Inoue H, Shohtsu A
First Department of Surgery, Tokai University School of Medicine.
Kyobu Geka. 1990 Oct;43(11):864-6.
Surgical treatment for bullous emphysema using Gore-Tex sheet and mechanical stapler is reported. The techniques were followed in a Juetnner's report: Small cut is made at the center of a 10 cm square of a Gore-Tex sheet, through which the area of bullous lung planned for resection is tented out with a lung forceps. A stapling instrument charged with a 4.8 mm clips is placed over the sheet around the suture line, and closed over both sheet and lung parenchyma. The excess sheet is removed after resection of the bullous lung. Five cases of bullous emphysema with a history of pneumothorax were successfully treated by the above method. Air leakage disappeared on the first postoperative day at latest. We assume Gore-Tex sheet, although a non-absorbable material, is in use as well as polydioxanone ribbon for prevention of air leakage in surgical cases of bullous emphysema.
报告了使用戈尔特斯（Gore-Tex）片和机械吻合器治疗大疱性肺气肿的手术方法。该技术遵循于尤特纳（Juetnner）的报告：在一块10厘米见方的戈尔特斯片中央做一个小切口，用肺钳通过该切口将计划切除的大疱性肺区域撑起。将装有4.8毫米钛钉的吻合器械放置在片材上围绕缝合线的位置，然后在片材和肺实质上方闭合。切除大疱性肺后去除多余的片材。5例有气胸病史的大疱性肺气肿患者通过上述方法成功治愈。术后最晚在第一天漏气就消失了。我们认为，戈尔特斯片虽然是不可吸收材料，但在大疱性肺气肿手术病例中与聚二氧六环酮带一样可用于防止漏气。
