From 1991 to 1994, We performed 75 cases of pulmonary resection. These were divided into two groups according to the method of bronchial stump closure: 51 cases automatic staplers were applied in 49 patients(Group I), 24 patients were closed with
manual
interrupted suture(Group II).
Disease entities of the patients were malignant tumor in 33 patients(Group I:Group II. 22:11), bronchiectasis in 23(18:5), benign tumor in 5(3:2), aspergilloma I 5(2:3), aspergilloma in 5(2:3), tuberculosis(2:1) in 3, bronchogenic cyst in 2(0:2)
and so
on.
Surgical procedures for these patients were 21 pneumonectomies(18:3), 13 bilobectomies(11:2), 13 bilobectomies(11:2), 26 lobectomies(14: 12), 11 segmentectomies(6:5) and 4 lobectomy with segmentectomies(4:0).
In conclusion, the amount of tube drainage was smaller and the removal of chest tube after surgery was shorter than manual bronchial bronchial closure group by means of statistical significance(p=0.047, p=0.005). Although there were no
statistical
significance, the duration of air leakage was reduced and incidence of bronchopleural fistula was reduced in the stapler used group compared with manual bronchial closure.
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