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Technique of single-lung transplantation
V R Kshettry1, S J Shumway, R L Gauthier
1Department of Surgery, University of Minnesota, Minneapolis 55455.
The Annals of Thoracic Surgery
|April 1, 1993
Summary
Surgical staples and a modified bronchial anastomosis technique improve single-lung transplantation outcomes. This approach simplifies recipient pneumonectomy and enhances bronchial healing without omentopexy.
Area of Science:
- Thoracic Surgery
- Transplantation Medicine
- Surgical Innovation
Background:
- Single-lung transplantation is a complex procedure with evolving surgical techniques.
- Optimizing bronchial healing and reducing complications are critical for successful outcomes.
- Previous methods required additional procedures like omentopexy for bronchial anastomosis.
Purpose of the Study:
- To describe and illustrate an evolved technique for single-lung transplantation.
- To present a modified approach for bronchial anastomosis in lung recipients.
- To demonstrate the utility of surgical staples in recipient pneumonectomy.
Main Methods:
- Utilized surgical staples for recipient pneumonectomy, facilitating access to hilar structures.
- Implemented a modified, telescoped bronchial anastomosis technique.
- Evaluated the healing process and necessity of omentopexy in the last 30 cases.
Main Results:
- The described technique has been refined over 3.5 years of institutional experience.
- Surgical staples provided efficient access for hilar structure anastomoses.
- The modified bronchial anastomosis promoted healing and eliminated the need for omentopexy in 30 consecutive cases.
Conclusions:
- The evolved single-lung transplantation technique, incorporating surgical staples and a modified bronchial anastomosis, is effective.
- This approach simplifies the surgical procedure and improves bronchial healing.
- The technique obviates the need for omentopexy, streamlining the transplantation process.