Stapler 를 이용한 폐 절제술에 관한 임상적 고찰

A Clinical Study of Pulmonary Resections Using A Stapling Device

An analysis of 503 pulmonary resection is presented, with the following points of interest; 1] By using a stapling device, the operation time is shortened, more lung tissue can be saved, and post-operative complications are fewer. 2] By comparison with a previous series, postoperative drainage from the chest is decreased when the stapling device is used. In the present series 82% of patients has less than 500 cc of drainage post-operatively. Average required whole blood replacement was less than 800 cc in this series of patients. 3] Only 13 patients, or 2.6% developed a bronchopleural fistula, and only 8 patients, or 1.5% developed post-operative empyema when the stapling device was used. 4] Because of the decreased air leaks when the stapling device is used, the anterior and posterior tubes can be removed sooner. 5] With careful preservation of lung tissue and paralysis of the phrenic nerve, post operative `dead space" is not a problem after the pulmonary lobectomy. Thus thoracoplasty is not necessary to eliminate "dead space".