The advantages of selecting cartridges with a 1.8 mm height for pulmonary stapling.
Surg Today
; 46(10): 1176-80, 2016 Oct.
Article
em En
| MEDLINE
| ID: mdl-26679710
ABSTRACT
PURPOSES:
The purpose of this study was to retrospectively analyze the complications arising from stapling of the pulmonary parenchyma and to determine the most appropriate cartridges to use for pulmonary stapling.METHODS:
A retrospective multi-institutional review was conducted by the Central Japan Lung Cancer Surgery Study Group. We analyzed both Echelon™ (EC) and EndoGIA™ (EGIA) staplers in this study. The stapling cartridges were classified into 3 colors according to the height of the ß loops green (2.0 mm), gold (1.8 mm), and blue (1.5 mm).RESULTS:
Stapling of the pulmonary parenchyma was performed 9016 times. The total number of complications related to stapling was 61 (0.68 %). These complications were mainly caused by stapler-tissue thickness mismatch (n = 30, 49.2 %) and tissue fragility (n = 27, 44.3 %). The number and rate of complications of the different cartridges were 19 and 0.63 % for EGIA blue, 25 and 0.94 % for EGIA green, 1 and 0.067 % for EC gold, 12 and 0.98 % for EC blue, and 4 and 0.64 % for EC green, respectively. Complications associated with stapling using EC gold cartridges occurred less frequently than with the other cartridges (p = 0.0022).CONCLUSION:
The gold cartridge appears to cause the least complications and may therefore be the most appropriate cartridge for stapling the pulmonary parenchyma among the tested staplers.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Grampeadores Cirúrgicos
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Grampeamento Cirúrgico
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Procedimentos Cirúrgicos Torácicos
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Complicações Intraoperatórias
/
Pulmão
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Humans
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2016
Tipo de documento:
Article
País de afiliação:
Japão