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章鱼™组织稳定器在肺移植支气管吻合术中最小化操作方法的应用。

Use of Octopus™ Tissue Stabilizer for Minimal Manipulation Approach of Bronchial Anastomosis in Lung Transplant.

作者信息

Razuk Mauro, Santos Samuel Lucas Dos, Reis Flavio Pola Dos, Abdalla Luis Gustavo, Fernades Lucas Matos, Pêgo-Fernandes Paulo Manuel

机构信息

Lung Transplant Group, Disciplina de Cirurgia Torácica, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, São Paulo, São Paulo, Brazil.

出版信息

Braz J Cardiovasc Surg. 2023 Oct 6;38(6):e20220413. doi: 10.21470/1678-9741-2022-0413.

Abstract

Bronchial anastomotic complications are a cause of grave concern for surgeons that perform lung transplantations. There are several risk factors that may lead to this complication, being inadequate surgical technique one of them, specifically regarding adequate exposure and manipulation of the bronchial stump and anastomosis. Here we report the use of Octopus™ Tissue Stabilizer as a mean to allow for a better exposure of the stump and facilitate a "no-touch" approach towards anastomosis. Systematic application of devices that facilitate the employment of the correct surgical techniques can have an effect in reducing the incidence of bronchial anastomotic complications.

摘要

支气管吻合口并发症是进行肺移植手术的外科医生极为关注的问题。有多种危险因素可能导致这种并发症,手术技术不充分是其中之一,特别是在支气管残端和吻合口的充分暴露及操作方面。在此我们报告使用章鱼™组织稳定器作为一种手段,以更好地暴露残端并便于采用“无接触”方式进行吻合。系统应用有助于采用正确手术技术的器械可有效降低支气管吻合口并发症的发生率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0f7/10550104/d47d463dbcb8/bjcvs-38-06-e20220413-g01.jpg

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