Irlich G, Schulte H D, Koch R
Langenbecks Arch Chir. 1981;355:459-63. doi: 10.1007/BF01286891.
Until 1969 the bronchial stump was closed by hand with a suture of steel wire; the rate of empyemas reached 4.2%. After using the automatic stapler device TA 30 and TA 55 the postoperative empyema rate, including stump, insufficiencies, decreased to an average of 3%. Since 1972 the stapling devices had been used regularly in lung surgery. The rate of postoperative empyema and stump insufficiency in 378 patients operated 1974-1980 dropped to 1.6%. Technical and surgical failures were the cause for the disasters. For 4 years there has been no stump insufficiency.
直到1969年,支气管残端都用钢丝缝合手工闭合;脓胸发生率达4.2%。使用自动缝合器TA 30和TA 55后,包括残端瘘在内的术后脓胸发生率平均降至3%。自1972年起,缝合器开始在肺手术中常规使用。1974年至1980年接受手术的378例患者的术后脓胸和残端瘘发生率降至1.6%。技术和手术失误是导致这些问题的原因。4年来未出现残端瘘。