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Right arrow Trachea and bronchi

J Thorac Cardiovasc Surg 2008;135:708-709
© 2008 The American Association for Thoracic Surgery

Brief Communication

End-to-side bronchial anastomosis using the continuous suture technique

Erdal Tasci, MD, Alpay Orki, MD, Cemal Asim Kutlu, MD, FETCS*

Department of Thoracic Surgery, Sureyyapasa Chest Diseases and Thoracic Surgery Teaching and Research Hospital, Istanbul, Turkey

Received for publication August 22, 2007; accepted for publication November 20, 2007.

* Address for reprints: Cemal Asim Kutlu, MD, FETCS, Hakki Yeten Cad, 17/12 Fulya-Sisli 34394, Istanbul, Turkey. (Email: cakutlu@tnn.net).

The first 20% of the full text of this article appears below.

Sleeve resection with bronchial anastomosis has become a routine procedure in most thoracic units. Several studies have reported satisfactory outcomes after this surgery; however, they all used the traditional interrupted suture technique. Experience with the continuous suture technique for tracheal and bronchial anastomosis was first reported in 1999.1Go This technique is rapid and easy to perform, and the results are comparable to those obtained using the interrupted suture technique. Kutlu and Goldstraw1Go report 100 consecutive cases of various anastomoses; however, they were all performed end to end. Therefore, the reliability of the continuous suture technique for end-to-side bronchial anastomosis remains unconfirmed.

Clinical Summary

End-to-side bronchial anastomosis is undertaken as part of the Barclay's procedure, a technically demanding operation for lung cancer. In the original technique,2Go the intermediate bronchus is . . . [Full Text of this Article]






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