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KMID : 0371319690110010027
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Journal of the Korean Surgical Society
1969 Volume.11 No. 1 p.27 ~ p.32
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Results of Pulmonary Resection using Stapler
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金鍾植/Kim, Jong Sik
裵斗賢/李相鉉/Bridgman, A./Bae, Too Hyun/Lee, Sang Hyun/--
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Abstract
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In the past seven years, 264 persons have had a pulmonary resection for treatment of pulmonary tuberculosis at the Kwangju Christian Hospital. One hundred and sixty-six patients had an orthodox resection, while 98 patients had a resection using a mechanical stapler.
Comparison of the two methods was done. The results are as follows:
1. Kinds of Resection:
In patients having an orthodox resectiont here were 13 who had a lobectomy combined with a segmental resection, (7.8%), and 12 who had a segmental resection only (7.2%). Among patients resected using the stapler, 15 or 15.3% had a lobectomy with segmental resection, and 21 or 21.4% had a segmental resection only. The increased percentage of the fact that such resections are easier using the stapler, that more lung tissue can be preserved, and that more lung tissue can be preserved, and that operation is performed more quickly.
2. Drainage:
After resection using the stapler drainage tended to be less. Thus, in orthodox resections 60% of patients had more than 500 cc of drainage, but in resections using the stapler almost halt of the patients, (52%) had less than 500 cc of drainage.
3. Chest tubes:
In general chest tubes could be removed earlier in the patients receiving resection with the stapler. This was due to decreased air leaks, and to decreased drainage.
4. Complications:
a) There were 7 cases of bronchopleural fistula in the orthodox resection group, (4.2%). In the cases where the stapler was used here were two bronchopleural fistulas, (2%).
b) Eleven persons receiving orthodox resection developed empyema, (6.6%), but this complication was seen only twice in resections performed with the stapler, (2%).
From this it appears that the two major complications of resections, bronchopleural fistula nad empyema, are less common when the stapler is used.
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