Six-Year Clinical Experience Using Automatic Stapling Devices for Lung Resections

Dart, Charles H.; Scott, Stewart M.; Takaro, Timothy

doi:10.1016/s0003-4975(10)65549-x

Cited by 51 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The resulting empyema is associated with high mortality (8,9). Several authors have reported a 1-4% incidence of bronchopleural fistula after pneumonectomy or lobectomy, and a lower incidence after segmentectomy or a less radical procedure (1)(2)(3)(4).…”

Section: Discussionmentioning

confidence: 99%

“…In attempts to prevent bronchopleural fistula and the associated mortality, various methods for closing the bronchial stump have been devised (4,(10)(11)(12)(13)(14). Staple closure of the bronchus is now widely accepted and has become routine in many centers.…”

Section: Discussionmentioning

confidence: 99%

“…Staple closure of the bronchus after pulmonary resection is now widely accepted, and various automatic stapling devices have been used (1)(2)(3)(4). The optimal method of bronchial closure remains controversial, however, mainly because of the risk of bronchopleural fistula, the incidence of which has been reported to be about 2% (5)(6)(7).…”

mentioning

confidence: 99%

“…This complication can be serious and potentially lifethreatening (8,9). Various surgical techniques have been devised with the aim of preventing bronchopleural fistula (4,(10)(11)(12)(13)(14)(15). We now report our experience in the management of the bronchial stump, using two types of automatic staplers.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Comparison of Two Automatic Staplers for Closing the Bronchial Stump after Pulmonary Resection

Kawashima¹

2000

Scandinavian Cardiovascular Journal

View full text Add to dashboard Cite

The incidence of complications following pulmonary resection using an automatic stapler was studied in 348 consecutive patients. A parallel-jaw stapler with two staple lines was used in group A (133 males, 101 females, mean age 66 years) between 1990 and 1995, and a hinged-jaw stapler with three staple lines in group B (70 males, 44 females, mean age 67 years) in 1995-1997. The incidence of bronchopleural fistula was 0.4% (1 patient) in group A and nil in group B. The incidence of intraoperative air leak requiring interrupted suture closure was 4.7% (11 patients) in group A and nil in group B (p < 0.05). Postoperative bronchopleural fistula did not develop in any of the cases, and there was no mortality. For management of the bronchial stump after pulmonary resection, the newer device firing three rows of staples is superior to the two-row device.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 2 more Smart Citations

Comparison of Two Automatic Staplers for Closing the Bronchial Stump after Pulmonary Resection

Kawashima¹

2000

Scandinavian Cardiovascular Journal

View full text Add to dashboard Cite

show abstract

“…(2) Although its incidence has been decreasing in recent years, BPF remains a significant complication of lung resection, (3)(4)(5) leading to other complications such as empyema, hemorrhage, and pneumothorax, as well as to a high mortality rate. (6) Various pre-, intra-, and post-operative factors influence the genesis of BPF.…”

Section: Introductionmentioning

confidence: 99%

Estudo comparativo entre a resistência das suturas manual e mecânica do coto brônquico em cães submetidos a pneumonectomia esquerda

et al. 2007

View full text Add to dashboard Cite

Objective: To compare the resistance of manual suture with that of mechanical suture immediately after the suture of the left bronchial stump of dogs submitted to pneumonectomy. Methods: A total of 15 mixed-breed dogs of both genders, each weighing between 8 and 23 kg, were randomly divided into 2 groups. In group I (n = 7), the bronchial stump was sutured manually (the Sweet method) and, in group II (n = 8), it was stapled. Immediately after the closure of the bronchial stump, the intratracheal pressure was progressively increased in a controlled manner. Results: The mean rupture pressure of the bronchial stump suture line was 33.71 mmHg in group I and 89.87 mmHg in group II (p < 0.01). Conclusion: These data allowed us to conclude that mechanical suture of the bronchial stump, submitted to pressure immediately after closure, is more resistant than is manual suture in dogs submitted to pneumonectomy.

show abstract

Mechanical sutures in surgery

Steichen

Ravitch

1973

British Journal of Surgery

View full text Add to dashboard Cite

SUMMARYFollowing the original introduction of an automatic stapling instrument producing B-form staples by de Petz (1924, 1927)~ there has been derived from the very important first generation of Soviet stapling instruments a second generation of American stapling instruments characterized by: (I) the use of preloaded, pre-sterilized, and disposable staple cartridges; ( 2 ) the adaptability of one instrument to a variety of cartridges for use in a variety of tissues and operative situations; (3) the transfer from the instrument itself to the disposable cartridge of delicate and fragile moving parts simplifying the maintenance and operation of instruments. The instruments have found wide and satisfactory application in numerous areas of thoracic, vascular, gastro-intestinal, and gynaecological surgery.

show abstract

Six-Year Clinical Experience Using Automatic Stapling Devices for Lung Resections

Cited by 51 publications

References 11 publications

Comparison of Two Automatic Staplers for Closing the Bronchial Stump after Pulmonary Resection

Comparison of Two Automatic Staplers for Closing the Bronchial Stump after Pulmonary Resection

Estudo comparativo entre a resistência das suturas manual e mecânica do coto brônquico em cães submetidos a pneumonectomia esquerda

Mechanical sutures in surgery

Contact Info

Product

Resources

About