Stapling devices in pulmonary surgery.

The results with the use of mechanical stapling devices (TA 30, 55 and 90) in pulmonary surgery are reviewed. In a series of 171 pulmonary operations, staples were used to close the bronchial stump in 95 cases. Also 100 large pulmonary vessels were closed with the stapling device. No complications were observed that could be ascribed purely to the use of the stapling instruments. Resection of emphysematous bullae was followed by a smooth postoperative course, characterized by an almost complete lack of air leakage. An important advantage of mechanical stapling devices is the rapidity and reliability of bronchial and vascular closure, resulting in decreased operating time and safer operative procedures. To obtain good results with these instruments experience and sound surgical judgment are necessary.