Normal
0
false
false
false
EN-US
X-NONE
AR-SA
MicrosoftInternetExplorer4
Background: Pulmonary resection is one of the most common thoracic surgeries Bronchial
stump closure is important topic and still is controversy Bronchial stump
closure with stapler is a new method that in addition to rapidity, lowering
separation and dehiscence of suture line and lowering contamination of the
operative site with bronchial secretions, and lowering the main complication
after pulmonary resections which is sustained air leak- main factor in delaying
discharge and patients dissatisfaction.
Methods: Two groups of 16 patients in a
randomized clinical trial compared. In one group bronchial stump closed with
stapler and the other stump closed with hand sewn method. Bronchial closing
time, Operative time, time of airleak, time of chest tube, time of discharge
and complication recorded and compared.
Results: In the stapler group time of bronchial closing was significantly shorter.
Operative time was not different. time of air leak was not statistically
different. No patients with long airleak, and the number of patients without
airleak was greater. In the stapler group, time of having chest tube was statistically
shorter and time of discharge in stapler group was shorter than hand sewn group.
Conclusions: Bronchial
closing with stapler in pulmonary resection is a safe method and in addition to
rapidity, time of chest tube and time of discharge was shorter. Although Time
of air leak was not statistically different but patients in stapler groups had
less Days with air leak and long air leak was zero in this group.
