RESUMO
In coronary artery bypass grafting, we prefer the right gastroepiploic artery as an adjunct to the internal mammary arteries, due to its comparable size to the mammary artery, flow, length, freedom of atherosclerosis, pharmacologic responses, and patency rate. No major gastric complications after the use of the gastroepiploic artery have been reported yet. We report gastric perforation due to excessive coagulation of side branches of the gastroepiploic artery supplying the greater curvature of the stomach.
Assuntos
Ponte de Artéria Coronária/métodos , Eletrocoagulação/efeitos adversos , Estômago/irrigação sanguínea , Estômago/lesões , Adulto , Constrição , Feminino , Cardiopatias/cirurgia , Hemostasia Cirúrgica/instrumentação , HumanosRESUMO
BACKGROUND: Thoracoscopic-assisted pulmonary resection for lung cancer is controversial. The appropriateness of this approach has to be compared with the golden standard of an open resection. METHODS: This study consists of 66 patients with a clinical stage 1 disease. A thoracoscopic exploration was executed in 41 patients. Only in 16 cases was a thoracoscopic resection finally possible. The clinical and pathological TNM classification, the histological types and the surgical procedure are reported. The reasons for conversion are documented. RESULTS: To investigate the appropriateness of the thoracoscopic approach we evaluated only the pathologically proven stage 1 disease in both groups. Postoperative complications, hospital stay and survival are compared. CONCLUSION: Until now we can conclude that there is no adverse effect on survival because of the thoracoscopic approach.