Deparment of Thoracic Surgery, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Deparment of Pulmonology, Pamukkale University Faculty of Medicine, Denizli, Turkey.
Niger J Clin Pract. 2021 Oct;24(10):1520-1526. doi: 10.4103/njcp.njcp_453_20.
Disfigurements in the lung parenchyma due to capitonnage methods may lead to long-term atelectasis. The aim of the present study was to examine whether there are any complication differences between the capitonnage applied via interrupted suture or purse-string suture.
Of the total of 120 cases that underwent hydatid cyst surgery during 2007 and 2020, those that were subject to capitonnage were included in the study. The preoperative and postoperative findings were analyzed for 76 cases subject to purse-string capitonnage (Group I) and 24 interrupted capitonnage (Group II).
While the number of cases with complication in Group I was 16 (21.1%), there were only 2 (8.3%) complications in Group II; however, the difference was not statistically significant (P = 0.23). Bronchopleural fistula (n = 1) and prolonged air leak (n = 2) were observed in Group I, there was no bronchopleural fistula or prolonged air leak in Group II. Atelectasis was the most frequently observed complication observed in 12 (15.8%) cases in Group I and 2 (8.3%) cases in Group II (P = 0.53). The duration of hospitalization was lower for the patients in Group II. The number of days was 7.3 ± 2.7 for Group I and 5.3 ± 2.1 for Group II (P < 0.01).
This study is the first to compare whether there are any complication differences between the capitonnage methods via interrupted suture or purse-string suture. The results of the study put forth that the duration of hospitalization is lower in the interrupted capitonnage group. Parenchymal anatomy may be preserved better in interrupted capitonnage method.
由于褥式缝合方法导致的肺实质畸形可能导致长期肺不张。本研究旨在检查间断缝合或荷包缝合应用的褥式缝合方法是否存在任何并发症差异。
在 2007 年至 2020 年间进行的 120 例包虫囊肿手术中，对接受褥式缝合的患者进行了研究。对接受荷包缝合的 76 例（I 组）和 24 例间断缝合的患者（II 组）的术前和术后发现进行了分析。
I 组并发症病例数为 16 例（21.1%），II 组仅 2 例（8.3%）并发症；然而，差异无统计学意义（P = 0.23）。I 组观察到支气管胸膜瘘（n = 1）和持续漏气（n = 2），II 组无支气管胸膜瘘或持续漏气。I 组有 12 例（15.8%）患者观察到肺不张，2 例（8.3%）患者观察到肺不张（P = 0.53）。I 组的住院时间较短，I 组为 7.3 ± 2.7 天，II 组为 5.3 ± 2.1 天（P < 0.01）。
本研究首次比较了间断缝合和荷包缝合方法的褥式缝合方法是否存在任何并发症差异。研究结果表明，间断缝合组的住院时间较短。间断缝合方法可能更好地保留实质解剖结构。
