PMID: 8614038Apr 1, 1996Paper

Trauma pneumonectomy revisited: the role of simultaneously stapled pneumonectomy

The Journal of Trauma
J W WagnerH M Horst

Abstract

The aim of this study was to compare simultaneously stapled pneumonectomy (SSP) with individual ligation (IND) as a method for performing urgent pneumonectomy (Py) for trauma. Twelve patients who required Py were reviewed. SSP was performed in nine cases and IND in three cases. The two groups had statistically similar injury severity scores, presenting systolic blood pressures, and Trauma and Injury Severity Score derived probabilities of survival. An animal model of Py was developed, in which seven animals underwent SSP and seven underwent IND methods. Burst pressures of the pulmonary artery and bronchus were calculated after 14 days. There were no differences noted in survival rates between SSP (5 (56%)) and IND (1 (33%)), nor in incidence of bronchopleural fistula. The SSP group had a significantly shorter operative time compared with that of IND (88.9 +/- 14.3 minutes vs 213 +/- 57.8 minutes, respectively, p - 0.01). The animal study revealed no difference in burst pressures of the bronchus (SSP = 662.9 +/- 169.9 mm Hg vs. IND = 591.4 +/- 193.2 mm Hg, p = 0.752) or of the pulmonary artery (SSP = 554.3 +/- 195.1 mm Hg vs. IND = 477.7 +/- 247.5 mm Hg, p = 0.529). Survival after pulmonary injuries that require Py depends upon ...Continue Reading

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Citations

Oct 12, 2012·General Thoracic and Cardiovascular Surgery·Mitsuhiro KamiyoshiharaIzumi Takeyoshi
Jul 5, 2003·American Journal of Surgery·Alison WilsonKenneth Mattox
Jan 8, 2000·The Surgical Clinics of North America·D V Feliciano, G S Rozycki
Dec 12, 2001·The Journal of Trauma·R Karmy-JonesM M Knudson
Apr 21, 2004·Current Problems in Surgery·Riyad Karmy-Jones, Gregory J Jurkovich
May 28, 2016·Annals of Surgery·Derek J RobertsHenry T Stelfox
Nov 23, 2006·Journal of the American College of Surgeons·Herb A PhelanCharles B Rodning
Jun 19, 2004·Injury·Michael F Rotondo, Michael R Bard
Nov 26, 2014·The Journal of Trauma and Acute Care Surgery·Riyad Karmy-JonesWalter L Biffl
Dec 30, 2014·The Journal of Trauma and Acute Care Surgery·Alberto GarciaJuan Carlos Puyana
Feb 20, 2007·ANZ Journal of Surgery·Peter LoognaElias Degiannis

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