Vaughn C C, Wolner E, Dahan M, Grunenwald D, Vaughn C C, Klepetko W, Filaire M, Vaughn P L, Baratz R A
Department of Thoracic Surgery, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Ann Thorac Surg. 1997 Mar;63(3):864-6. doi: 10.1016/s0003-4975(96)01151-4.
Prolonged air leak after a lung volume reduction operation for pulmonary emphysema is a major cause of morbidity and prolonged hospital stay. Staple line reinforcement is recognized as an effective adjunctive technique for decreasing the occurrence of air leaks after pulmonary wedge resection. Numerous materials have been used for staple-line reinforcement. We use expanded polytetrafluoroethylene sleeves that fit over the arms of surgical staplers to facilitate staple-line reinforcement in both thoracoscopic and open lung volume reduction procedures. The expanded polytetrafluoroethylene sleeves do not require rinsing or special handling; they are easy to use and effective in preventing air leaks. We had no prolonged air leaks or infections in any of the cases in which we used the sleeves.
肺减容手术后的持续性漏气是导致发病和住院时间延长的主要原因。钉合线加固被认为是一种有效的辅助技术，可减少肺楔形切除术后漏气的发生。许多材料已被用于钉合线加固。我们使用可套在手术吻合器臂上的膨体聚四氟乙烯套管，以方便在胸腔镜和开放性肺减容手术中进行钉合线加固。膨体聚四氟乙烯套管不需要冲洗或特殊处理；它们易于使用，并且在防止漏气方面有效。在我们使用套管的所有病例中，均未出现持续性漏气或感染。
