気腫性肺手術へのGelatin-Resorcin-Formaldehyde glueの使用経験

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  • THE USE OF GRF GLUE IN EMPHYSEMATOUS LUNG SURGERY

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Air leakage from the operation field is a distressing complication in emphysematous lung surgery. It may cause pneumonia, respiratory dysfunction and other grave results. We examined air leakage in 53 emphyse-matous cases in which Gelatin-Resorcin-Formaldehyde (GRF) glue was applied at surgery. Two cases out of 53 patients required re-operation, though the one was caused air leak from new formed bulla which was not applied the glue at first operation. Another case required re-operation just after the first operation because GRF glue bound to the lung tissue unsuccessfully. In as meny as 14 cases re-application of GRF glue was needed during operation. Although we must be careful to keep the glue warm untill application and to bind it with formaldehyde, GRF glue was effective in the treatment of patients with emphysematous lungs. It appears to be valuable in preventing postoperative air leakage and grave complications.

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