ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Graeber, G. M.
Right arrow Articles by Murray, G. F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Graeber, G. M.
Right arrow Articles by Murray, G. F.

The Annals of Thoracic Surgery, Vol 51, 901-904, Copyright © 1991 by The Society of Thoracic Surgeons

ARTICLES

Are sutures better than staples for closing bronchi and pulmonary vessels?

GM Graeber, JJ Collins Jr, JL DeShong and GF Murray
Department of Surgery, West Virginia University, Morgantown 26506.

Little is known about the strength of suture lines and stapled closures of the bronchus, pulmonary arteries, and pulmonary veins. This experiment tested and compared the hydrostatic leakage point of each of these structures when closed by either sutures or staples. Fourteen fresh mature porcine cadavers and 8 human cadavers of age greater than 50 years were studied to determine whether the pig could be used as an appropriate model for future in vivo studies. Cadavers were selected so that closures depended only on the material used and not on any clot reinforcing the closure lines. The results of the study suggest that staple closure of the pulmonary artery and the main bronchus is as secure as suture closure. Pulmonary veins leak at a lower pressure when closed with staples; however, this pressure far exceeds physiological pressures in the left atrium. The data also suggest that the pig is an appropriate model for approximating conditions found in patients and is a good model for chronic studies comparing suture and staple closures.


This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
D. Gossot and A. Nana
Computer-Controlled Stapling System for Lung Surgery
Ann. Thorac. Surg., November 1, 2005; 80(5): 1898 - 1901.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. F. Szwerc, R. J. Landreneau, R. S. Santos, R. J. Keenan, and G. F. Murray
Minithoracotomy combined with mechanically stapled bronchial and vascular ligation for anatomical lung resection
Ann. Thorac. Surg., June 1, 2004; 77(6): 1904 - 1910.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Shigemura, A. Akashi, T. Nakagiri, M. Ohta, and H. Matsuda
A new tissue-sealing technique using the ligasure system for nonanatomical pulmonary resection: preliminary results of sutureless and stapleless thoracoscopic surgery
Ann. Thorac. Surg., April 1, 2004; 77(4): 1415 - 1418.
[Abstract] [Full Text] [PDF]

Home page
 Eur. J. Cardiothorac. Surg.Home page
H. Asamura, K. Suzuki, H. Kondo, and R. Tsuchiya
Mechanical vascular division in lung resection
Eur. J. Cardiothorac. Surg., May 1, 2002; 21(5): 879 - 882.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1991 by The Society of Thoracic Surgeons.