Cartilage Folding Method for Main Bronchial Stapling

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Presentation transcript:

Cartilage Folding Method for Main Bronchial Stapling Teruhiro Aoki, MD, Yuichi Ozeki, MD, Masazumi Watanabe, MD, Susumu Tanaka, MD The Annals of Thoracic Surgery Volume 65, Issue 6, Pages 1800-1801 (June 1998) DOI: 10.1016/S0003-4975(98)00148-9

Fig 1 Bronchoscopic photograph showing a bronchopleural fistula in a patient who underwent pneumonectomy with the conventional stapling method. Note the two pinhole fistulas in the center of the main bronchus where the membranous portion was stretched. The Annals of Thoracic Surgery 1998 65, 1800-1801DOI: (10.1016/S0003-4975(98)00148-9)

Fig 2 Schematic diagram showing the conventional treatment of the stump and our cartilage folding method. In the cartilage folding method, the membranous portion is not stretched. The Annals of Thoracic Surgery 1998 65, 1800-1801DOI: (10.1016/S0003-4975(98)00148-9)

Fig 3 Schema of the folding technique. With the fingers of both hands, the surgeon folds both sides of the cartilaginous wall and controls the position of the stapler. The Annals of Thoracic Surgery 1998 65, 1800-1801DOI: (10.1016/S0003-4975(98)00148-9)

Fig 4 Bronchoscopic photograph of a patient who underwent pneumonectomy using our stapling method. Note the folded cartilage and the lack of stretch in the membranous portion. The Annals of Thoracic Surgery 1998 65, 1800-1801DOI: (10.1016/S0003-4975(98)00148-9)