Takizawa T, Terashima M, Koike T, Akamatsu H
Department of Thoracic Surgery, Niigata Cancer Hospital, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1996 Sep;44(9):1717-20.
From January 1984 to October 1995, Stapling of lobar bronchus excluding middle lobe was investigated in 335 patients with lung cancer. We used routinely the 3.5 mm staple in the previous term and the 4.8 mm staple in the latter term. The stapling with 3.5 mm staple was performed in 220 patients. The stapling failed in the pressure proof test intraoperatively in 8 patients and bronchopleural fistula occurred postoperatively in 4 patients. The bronchus was cut or destroyed by the staple in most of them. The stapling with 4.8 mm staple was performed in 115 patients. The stapling failed in the pressure proof test intraoperatively in one patient because of loose closure of the bronchus. Bronchopleural fistula did not occur postoperatively. In conclusion, the 4.8 mm staple is a better choice for closure of the lobar bronchus except for a small woman or middle lobe.
1984年1月至1995年10月，对335例肺癌患者进行了除中叶外的肺叶支气管吻合术研究。前期我们常规使用3.5毫米吻合钉，后期使用4.8毫米吻合钉。220例患者采用3.5毫米吻合钉进行吻合。术中压力测试吻合失败8例，术后发生支气管胸膜瘘4例。其中大多数患者的支气管被吻合钉切断或破坏。115例患者采用4.8毫米吻合钉进行吻合。1例患者因支气管闭合不紧术中压力测试吻合失败。术后未发生支气管胸膜瘘。总之，对于除小体型女性或中叶外的肺叶支气管闭合，4.8毫米吻合钉是更好的选择。
