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General Thoracic and Cardiovascular Surgery

, Volume 63, Issue 11, pp 640–643 | Cite as

Clinical experience of sleeve lobectomy with bronchoplasty using a continuous absorbable barbed suture

  • Tatsuo Nakagawa
  • Naohisa Chiba
  • Yuichiro Ueda
  • Masao Saito
  • Yasuto Sakaguchi
  • Shinya Ishikawa
How to Do It

Abstract

Anastomosis in bronchoplasty is usually performed using interrupted sutures, which are considered safe, reliable, and secure. However, placing interrupted sutures can be complex and time-consuming. There have been recent reports of continuous suturing using standard suture materials in bronchoplasty. We have experienced four cases of sleeve lobectomy with bronchial anastomosis in continuous fashion using a novel absorbable barbed suture device, the V-Loc™ wound closure device (Covidien, USA), which facilitates secure wound closure without knot-tying. Two patients underwent sleeve upper lobectomy and two underwent sleeve upper-middle lobectomy. Surgical approach was completely thoracoscopic in one patient and open in three. There were no intraoperative difficulties such as cutting or loosening, and a leak test was negative in all cases. One patient had pneumonia postoperatively and developed anastomotic stenosis 4 months after surgery, which did not require treatment. All patients were alive, without local recurrence, at a mean follow-up of 11.5 months postoperatively.

Keywords

Sleeve lobectomy Bronchoplasty Absorbable barbed suture 

Notes

Conflict of interest

The authors have all declared that no conflict of interest exists.

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Copyright information

© The Japanese Association for Thoracic Surgery 2015

Authors and Affiliations

  • Tatsuo Nakagawa
    • 1
  • Naohisa Chiba
    • 1
  • Yuichiro Ueda
    • 1
  • Masao Saito
    • 1
  • Yasuto Sakaguchi
    • 1
  • Shinya Ishikawa
    • 1
  1. 1.Department of Thoracic SurgeryTenri HospitalTenriJapan

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