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Parenchymal Stapling in Pulmonary Lobectomies: Is it Really Necessary?

Ufuk Cairici, MD, Semra Bilacerolu, MD^,1, Mustafa Cikirikçiolu, MD, Hakan Posaciolu, MD, Yüksel Atay, MD, Tahir Yadi, MD, Önol Bilkay, MD

Departments of Cardiovascular & Thoracic Surgery Ege University Medical Faculty Bornova, zmir, Turkey 1 Department of Chest Diseases Chest Diseases and Thoracic Surgery Training Hospital Yenisehir, zmir, Turkey

For reprint information contact: Ufuk Çairici, MD Tel: 90 232 388 2866 Fax: 90 232 339 0002 email: cagirici{at}med.ege.edu.tr Department of Thoracic Surgery, Ege University Medical Faculty, Bornova, zmir 35100, Turkey.

Automatic stapling devices are widely used for pulmonary exeresis, particularly in wedge or segmental resections. Infrequently, these instruments are also employed in lobectomies for the division of incomplete fissures. A prospective randomized study was undertaken to determine the efficacy of staplers in performing a lobectomy. Among 102 lobectomy patients, 59 (44 men, 15 women) who had incomplete fissures were included in the study. A stapler was used in 38 patients for completion of the fissures, whereas sharp dissection and the classic suture closure technique were employed in the remaining 21 patients. Duration of air leakage postoperatively did not differ significantly (p > 0.05) but the operation time was found to be shorter in the stapled-lobectomy group (67.63 ± 13.7 min versus 85.71 ± 18.3 min; p < 0.001).