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General Thoracic and Cardiovascular Surgery
Published in: General Thoracic and Cardiovascular Surgery 4/2019

01-04-2019 | How to Do It

Our tips for bronchoplasty using suture holder and tourniquet

Authors: Yukio Umeda, Tsutomu Marui, Shinji Murakawa, Shinsuke Matsumoto

Published in: General Thoracic and Cardiovascular Surgery | Issue 4/2019

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Abstract

Bronchial anastomosis is an important part of successful bronchoplasty, but it takes time to achieve stable results because of few opportunities to do it. To ensure a stable outcome, we have applied some tips for bronchial anastomosis. One of the tips is the use of a suture holder to obtain appropriate suture pitches, adjusting the discrepancy of the bronchial diameter, and another one is the use of a tourniquet to obtain an adequate tension upon tying the knots, ensuring good operative view.
Literature
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M. Okada. Bronchoplasty for lung cancer. Nihon Geka Gakkai Zasshi. 2016; 117, 283–288PubMed
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Committee for Scientific Affairs, The Japanese Association for Thoracic Surgery, M. Masuda, S. Endo, S. Natsugoe, H. Shimizu, Y. Doki, Y. Hirata, J. Kobayashi, N. Motomura, K. Nakano, H. Nishida, M. Okada, Y. Saiki, A. Saito, Y. Sato, K. Tanemoto, Y. Toh, H. Tsukihara, S. Wakui, H. Yokomise, K. Yokoi, Y. Okita. Thoracic and cardiovascular surgery in Japan during 2015. Gen Thorac Cardiovasc Surg. 2018; 66:581–615CrossRef
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T. Nakagawa, N. Chiba, Y. Ueda, M. Saito, Y. Sakaguchi, S. Ishikawa, Clinical experience of sleeve lobectomy with bronchoplasty using a continuous absorbable barbed suture. Gen Thorac Cardiovasc Surg. 2015; 63:640–643CrossRefPubMed
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H. Igai, H. Yokomise, Bronchoplasty with continuous sutures for non-small-cell lung cancer. Gen Thorac Cardiovasc Surg. 2012; 60:249–251CrossRefPubMed
Metadata
Title
Our tips for bronchoplasty using suture holder and tourniquet
Authors
Yukio Umeda
Tsutomu Marui
Shinji Murakawa
Shinsuke Matsumoto
Publication date
01-04-2019
Publisher
Springer Singapore
Published in
General Thoracic and Cardiovascular Surgery / Issue 4/2019
Print ISSN: 1863-6705
Electronic ISSN: 1863-6713
DOI
https://doi.org/10.1007/s11748-018-01061-8

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