Surgical staplers in thoracic surgery
Moggi, L.; Giustozzi, G.M.; Cagini, L.; Boselli, C.
Il Giornale di Chirurgia 13(4): 177-179
1992
ISSN/ISBN: 0391-9005 PMID: 1637625 Document Number: 394311
Since its introduction in our department, in 1987, stapling devices are used on routine basis for thoracic surgery. Overall, 133 operations were performed: 95 lobectomies, 30 pneumonectomies, and 8 bilobectomies. Stapled related complications consisting of bronchopleural fistula following right pneumonectomy were registered in 3 cases. The use of vascular staplers was never associated with complications, and no air leakages following stapled parenchymal sutures were observed. The advantages related to the use of stapling devices are represented by low air leakage and bleeding rates, reduced operative trauma, and reduced operating time. However, confidence with the techniques is needed to avoid regrettable consequences.