Bronchopleural Fistula Following the Use of Automatic Stapling Devices

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  • 自動縫合器TAによる気管支断端閉鎖の安全性について

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Closure of bronchi in 326 cases was investigated. Only stapling with an automatic stapling device (TA) was performed in 296 cases (90.8%). Hand suturing and/or covering of the bronchial stump were performed in other cases. Hand suturing closure was performed in 12 cases because the bronchial stumps were too short or thick to close with a TA. Additional hand suturing following TA was performed in 7 cases with intraoperative air leakage (2.2% of TA cases) and 4 cases with destroyed bronchial stump. The bronchial stump was covered with a pedicle flap in 11 cases to prevent fistula. Bronchopleural fistulas occurred in 3 cases (1.0% of TA cases). Bronchus closure with a TA is safe, if it can be used appopriately. The bronchial stump should be covered with an intercostal muscular flap in cases at high risk of bronchial fistula.

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