肺切除术支气管残端器械缝合技术的改进

目的:探讨肺切除术后支气管残端的处理技术,以避免或减少支气管胸膜瘘等并发症,提高手术疗效。方法:采用支气管缝合器关闭支气管残端。从缝合器的浅面做肺切除术,支气管残端用1-0带针编织涤纶线在器械缝合的深面做水平交叉U字缝合。通过该法3年来共施行肺切除术107例,观察术后并发症情况。结果:手术操作方便,支气管残端短,缝合牢固;术后无残端液体潴留和肉芽肿形成,全组无支气管胸膜瘘发生。结论:该法是一种比较理想的支气管残端处理方法。

Technical improvement of mechanical suture of bronchial stumps in pneumonectomy]

OBJECTIVE: To prevent or reduce such postoperative complications of pneumonectomy as bronchopleural fistula and promote the curative effect of the surgery by improving the technique for handling the bronchial stumps. METHODS: In 107 patients, bronchial stapler was adopted for closure of the bronchial stump and pneumonectomy was subsequently performed on the side of the staples. A 1-0 polyester suture was used to for suture in the shape of "U" deep in the mechanical suture on the bronchial stump. The postoperative complications were observed. RESULTS: The operations were performed easily and the bronchial stumps were short and sutured firmly. No fluid retention or granuloma occurred in the stumps after the operation, nor were the complications such as intractable cough and infection of thoracic cavity observed. No bronchopleural fistula was found in these patients. CONCLUSION: This new method is safe and effective for treatment of the bronchial stumps.