| Title | Resection and stapling technique for wide-based giant bullae in video-assisted thoracic surgery using a new end-stapler. | | Author(s) | Yamada S, Yoshino K, Inoue H | | Institution | Tokai University Hachioji Hospital, 1838 Isikawa, Hachioji, Tokyo, 192-0032, Japan, yamada.shunsuke@hachioji-hosp.tokai.ac.jp. | | Source | Gen Thorac Cardiovasc Surg 2008 Jun; 56(6):306-8. | | Abstract | In video-assisted thoracic surgery (VATS), stapling resection for wide-based giant bullae requires a large-volume reduction of normal lung parenchyma and is technically difficult because of the lack of holding and stapling ability of the end stapler for the thick lung parenchyma. A new end-stapler device, the Echelon 60 Endopath stapler (60-mm stapling), has a long, strong anvil and a wide jaw aperture and is able to easily hold thick lung parenchyma. This device is able to divide with precise stapling over a long incision. In VATS management for two recent cases of broad-based giant bullae, this new device was used instead of suture closure and easily achieved stapled closure after excision of the bulla wall. This method prevents large-volume reduction of normal lung and enables an easy, fast, and reliable suture along a precise stapling line. | | Language | eng | | Pub Type(s) | Journal Article
| | PubMed ID | 18563529 |
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