Thorac Cardiovasc Surg 2010; 58(3): 184-185
DOI: 10.1055/s-0029-1185882
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Penrose Drain Tube as a Guide for Endostaplers during Lobectomy via Video-Assisted Thoracoscopic Surgery

M.-W. Lin1 [*] , J.-M. Lee1 [*] , Y.-C. Lee1
  • 1Department of Surgery, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan, Province of China
Weitere Informationen

Publikationsverlauf

received April 20, 2009

Publikationsdatum:
07. April 2010 (online)

Abstract

Endostaplers are widely used in pulmonary lobectomy procedures performed through video-assisted thoracoscopic surgery (VATS). Using them to approach fused pulmonary fissures during VATS lobectomy procedures is safer and quicker than manual techniques. However, the direction of endostaplers is sometimes limited by the location of the working ports, which may result in difficulties in positioning the endostaplers or even traction or laceration of peripheral lung tissue. We describe here a useful surgical technique that uses a Penrose drain tube as a guide for the endostapler, making its use to divide fused pulmonary fissures during VATS lobectomy easier and safer.

References

  • 1 Ohtsuka T, Nomori H, Horio H, Naruke T, Suemasu K. Is major pulmonary resection by video-assisted thoracic surgery an adequate procedure in clinical stage I lung cancer?.  Chest. 2004;  125 1742-1746
  • 2 Stolz A J, Schutzner J, Lischke R, Simonek J, Pafko P. Predictors of prolonged air leak following pulmonary lobectomy.  Eur J Cardiothor Surg. 2005;  27 334-336
  • 3 Nomori H, Ohtsuka T, Horio H, Naruke T, Suemasu K. Thoracoscopic lobectomy for lung cancer with a largely fused fissure.  Chest. 2003;  123 619-622

1 The first and second authors contributed equally to the manuscript.

Prof. Yung-Chie Lee, MD, PhD, Director

Department of Surgery
National Taiwan University Hospital and
National Taiwan University College of Medicine

No 7, Chung-Shan South Road

10002 Taipei

Taiwan, Province of China

Telefon: + 88 62 23 12 34 56 ext. 6 50 70

Fax: + 88 62 33 93 39 89

eMail: yclee@ntuh.gov.tw