Hayashi Kazuki, Motoishi Makoto, Sawai Satoru, Hanaoka Jun
Division of General Thoracic Surgery, Department of Surgery, Shiga University of Medical Science, Setatsukinowa-cho, Otsu, Shiga, Japan.
Department of Thoracic Surgery, Mitsubishikyoto Hospital, 1 Katsuragosyo-cho, Nishikyo-ku, Kyoto, Japan.
J Surg Case Rep. 2018 Oct 26;2018(10):rjy289. doi: 10.1093/jscr/rjy289. eCollection 2018 Oct.
A linear stapler with bioabsorbable polyglycolic acid felt is widely used during the resection of emphysematous lung. Currently, an improved staple device with polyglycolic acid felt is being used owing to a history of complications, such as bleeding, that was associated with the previous model. Here, we report a case of a 69-year-old man who presented to our department for treatment of left lower lobe lung cancer using the new staple device. A left lower lobectomy and emphysematous bullectomy were performed. Reoperation was performed following the diagnosis of a postoperative hemothorax. During that operation, a staple with reinforcing material was found to be in contact with the proliferating vessels on the lung surface, resulting in an active bleed. The vessel was cauterized, and the bleeding stopped. This is the first case study to report bleeding associated with the improved staple device.
一种带有可生物吸收聚乙醇酸毡的线性缝合器在肺气肿肺切除术中广泛应用。目前，由于之前型号存在诸如出血等并发症的历史，一种改进的带有聚乙醇酸毡的缝合装置正在被使用。在此，我们报告一例69岁男性患者，他因左肺下叶肺癌到我院就诊，使用了新型缝合装置。实施了左肺下叶切除术和肺气肿肺大疱切除术。术后诊断为血胸后进行了再次手术。在那次手术中，发现一个带有增强材料的缝合钉与肺表面增生的血管接触，导致活动性出血。对血管进行了烧灼，出血停止。这是首例报告与改进型缝合装置相关出血的病例研究。
