Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs☆

Bayram, Ahmet Sami; Erol, Mehmet Muharrem; Salcı, Hakan; Özyiğit, Özgür; Görgül, Sacit; Gebitekin, Cengiz

doi:10.1016/j.ejcts.2007.09.005

Cited by 8 publications

(5 citation statements)

References 15 publications

(24 reference statements)

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“…Anastomotic complications can be prevented through careful dissection, preservation of blood flow and precise anastomosis. In a report presented by Bayram et al, [5] two different anastomosis techniques were compared and there was no difference in anastomotic healing. They also showed that the continuous suture method is completed in shorter time than the interrupted technique.…”

Section: Discussionmentioning

confidence: 97%

“…Anastomosis can be performed with separate sutures, as well as with continuous suture technique that can be completed in shorter time and with similar success. [5] Bronchoplastic procedures are suitable for approximately 5-8% of patients with resectable pulmonary malignancy. [6] The greatest benefit of increase in this rate is that it would reduce pneumonectomies.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Long-term results of sleeve lobectomy with continuous suture technique in non-small cell lung cancer

Yazgan

Gürsoy

Üçvet

et al. 2019

Turk Gogus Kalp Dama

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Bu çalışmada primer küçük hücreli dışı akciğer kanseri nedeniyle bronşiyal sleeve lobektomi uygulanan hastaların ameliyata bağlı komplikasyonları, nüks sıklığı, morbidite, mortalite ve sağkalım oranları ile sağkalım üzerinde etkili değişkenler araştırıldı. Ça lış ma pla nı: Mayıs 2007 ve Kasım 2015 tarihleri arasında kliniğimizde aynı ekip tarafından aynı cerrahi teknik ile ameliyat edilen toplam 85 bronşiyal sleeve lobektomi hastası (80 erkek, 5 kadın; ort. yaş 59.9±8.4 yıl; dağılım, 35-77 yıl) retrospektif olarak analiz edildi. Sağkalım ve 30 ve 90 günlük mortalite oranları analiz edildi. Sağkalım oranı üzerinde etkili değişkenler istatistiksel olarak değerlendirildi. Bronş anastomozuna bağlı komplikasyonlar ve ameliyat sonrası dönemde lokal nüks sıklığı araştırıldı. Bul gu lar: Yirmi beş hasta (%29.4) neoadjuvan tedavi gördü ve bu hastaların ikisinde (%8) anastomoz hattında komplikasyon gelişti. Ameliyat sonrası takipte lokal nüks oranı %16.5 idi. Ortalama takip süresi 35±29.9 ay, median sağkalım 65.2 ay ve beş yıllık sağkalım oranı %50.9 idi. Otuz ve 90 günlük mortalite oranları sırasıyla %1.2 ve %2.4 idi. Tek değişkenli analizde; daha büyük tümörlü, N2 hastalıklı veya uzatılmış cerrahi uygulanan hastalar istatistiksel olarak anlamlı derecede daha kötü sağkalım oranlarına sahipti (sırasıyla, p= 0.001, p= 0.002 ve p= 0.0001). Cox regresyon analizinde sağkalım üzerinde etkili değişkenler uzatılmış cerrahi varlığı ve nodül durumu idi (sırasıyla, p= 0.03 ve p= 0.012). So nuç: Sleeve lobektomi sürekli sütür tekniği kullanılarak kabul edilebilir anastomotik komplikasyonlar, iyi sağkalım ve düşük mortalite oranları ile gerçekleştirilebilir. Onkolojik nedenlerle yapıldığında, uzun dönem sonuçları pnömonektomiden farklı değildir.

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Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 99%

Long-term results of sleeve lobectomy with continuous suture technique in non-small cell lung cancer

Yazgan

Gürsoy

Üçvet

et al. 2019

Turk Gogus Kalp Dama

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“…Bayram and colleagues 1 compared interrupted and continuous suture techniques for bronchial anastomosis after sleeve lobectomies in dogs. Histopathological examination showed no differences in healing of the anastomoses.…”

Section: Discussionmentioning

confidence: 99%

Continuous absorbable suture technique for tracheobronchial sleeve resections

Chakaramakkil

Loh

Soon

et al. 2011

Asian Cardiovasc Thorac Ann

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From January 2000, we changed from the traditional interrupted suture technique for tracheobronchial sleeve resections to a continuous suture technique with absorbable suture. This retrospective study reviewed our experience in the first 50 consecutive patients operated on between January 2000 and August 2006. The median age was 61 years (range, 30 to 80 years). There were 35 men and 15 women, 49 had malignant disease, and 1 had a benign tumor. Two patients had tracheal resection without removal of lung parenchyma; all others underwent sleeve lobectomy. There was 1 (2%) operative death due to pneumonia, and 8 (16%) postoperative complications including atrial fibrillation, lobar atelectasis, prolonged parenchymal air leak, empyema, paralytic ileus, and chylothorax. There was no anastomotic dehiscence or bronchopleural fistula. None of the patients developed stricture at the anastomotic site when followed up for a mean duration of 18.6 months. The continuous suture technique is easy to perform and the results are comparable with those of the interrupted suture technique. The use of absorbable suture appears to reduce the incidence of stricture at the anastomotic site.

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“…Für die Rekonstruktion der Bifurkation können verschiedene Nahttechniken verwendet werden: Einzelknopfnähte, fortlaufende Nähte oder Kombinationen beider Techniken sind möglich [2,16,21,32,38]. Signifikante Unterschiede zwischen den Techniken hinsichtlich der Anastomosenheilung konnten in Studien bei Manschettenresektionen nicht nachgewiesen werden [39,40,41,42], sodass die Wahl der Technik nach Präferenz des/der Operateurs*in erfolgen kann. Hinsichtlich des Nahtmaterials überwiegt die Verwendung von resorbierbaren monofilen Fäden (z.…”

Section: Nahttechnik Und Nahtmaterialsunclassified

Resektionen der Trachealbifurkation

Lopez-Pastorini,

Stoelben

2024

Zentralbl Chir

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ZusammenfassungDie Bifurkationsresektion wird in der Literatur übereinstimmend als einer der anspruchsvollsten thoraxchirurgischen Eingriffe beschrieben. Unter diesem Begriff werden verschiedene Eingriffe zusammengefasst, die abhängig von der zugrunde liegenden Erkrankung und ihrer Ausdehnung unterschiedliche Resektionsformen und Rekonstruktionstechniken erfordern. Aus chirurgischer Sicht sind vor allem die engen anatomischen Verhältnisse und die Technik der Rekonstruktion der zentralen Atemwege herausfordernd. Ein komplexes Atemwegsmanagement und eine aufwendige postoperative Nachsorge zeigen jedoch, dass diese Eingriffe über die chirurgische Expertise hinaus, die Leistung eines multidisziplinären Teams darstellen. Dieser Artikel widmet sich den wichtigsten prä-, intra- und postoperativen Aspekten dieser Eingriffe.

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Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs☆

Abstract: Our research revealed that the healing of the anastomosis was not affected by the suturing technique performed.

Cited by 8 publications

References 15 publications

Long-term results of sleeve lobectomy with continuous suture technique in non-small cell lung cancer

Long-term results of sleeve lobectomy with continuous suture technique in non-small cell lung cancer

Continuous absorbable suture technique for tracheobronchial sleeve resections

Resektionen der Trachealbifurkation

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