BRONCHOPLEURAL FISTULA AFTER STAPLED CLOSURE OF BRONCHUS

被引:55
作者
VESTER, SR [1 ]
FABER, LP [1 ]
KITTLE, CF [1 ]
WARREN, WH [1 ]
JENSIK, RJ [1 ]
机构
[1] RUSH PRESBYTERIAN ST LUKES MED CTR,CHICAGO,IL 60612
关键词
D O I
10.1016/0003-4975(91)90009-F
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The incidence of bronchopleural fistula after stapling among 2,243 pulmonary resections at the Rush-Presbyterian-St. Luke's Medical Center has been reviewed. There were 35 fistulas in 1,773 stapled and in 470 sutured bronchi (segmentectomy, 2; lobectomy, 1; bilobectomy, 9; and pneumonectomy, 23). We have found that the stapler is expedient and simple to use, and that it produces a hermetic and uniform closure. The stapler is contraindicated when the bronchus is thickened, inflamed, or of insufficient length. The overall incidence of bronchopleural fistula was 1.6%. Approximately two thirds of the patients with bronchopleural fistula had preoperative radiation therapy or chemotherapy or both.
引用
收藏
页码:1253 / 1258
页数:6
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