[Use of a biological glue in partial pulmonary excision surgery. Results of a controlled trial in 50 patients]. / Utilisation d'une colle biologique en chirurgie d'exérèse pulmonaire partielle. Résultats d'un essai contrôlé chez cinquante malades.
Ann Chir
; 45(8): 719-23, 1991.
Article
em Fr
| MEDLINE
| ID: mdl-1768031
ABSTRACT
A controlled study concerning the surgical use of a fibrin glue was conducted in 50 patients undergoing partial pulmonary excision. In 25 of these patients, chosen at random, hemostasis and aerostasis of the fissural, and/or intersegmentary dissection planes were achieved by electrocoagulation, in the other 25 by the application of fibrin glue. The statistical study did not show any significant difference between the two groups in terms of the surgical indication, the type of excision and the associated surgical procedures (pleurectomy and parietectomy). No significant statistical difference was observed concerning the quality of aerostasis, the post-operative drainage, the persistance of residual collection or faulty reexpansion after removal of the latter, and the necessity for repeated drainage. The same applied to the length of post-operative hospital stay. This study seems to demonstrate that the surgical application of fibrin glue on the fissural and/or intersegmentary dissection planes is feasible but, as compared to electrocoagulation, does not significantly improve the quality of the surgical results for partial pulmonary excision; however its use could reduce the duration of post-operative drainage.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Brônquicas
/
Carcinoma
/
Adesivo Tecidual de Fibrina
/
Hemostasia Cirúrgica
/
Neoplasias Pulmonares
Tipo de estudo:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
Fr
Revista:
Ann Chir
Ano de publicação:
1991
Tipo de documento:
Article