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(Chest. 1963;44:381-384.)
© 1963 American College of Chest Physicians

A New Method for Avoiding Persistent Air Leaks following Segmental Pulmonary Resection

B. H. Burch M.D.1; A. A. Michals M.D., F.C.C.P.1; and A. C. Miller M.D., F.C.C.P.1

1 Chest Center, Patton State Hospital

1. Early complete expansion of the remaining lung and the avoidance of air leak following pulmonary segmental resection will eliminate virtually all of the air space complications of this operation.

2. A method is presented which resulted in only one transient air space in a series of 123 consecutive patients undergoing 199 segmental resections.

3. The technique stresses the importance of clamping intersegmental connecting structures before division. Suture ligation of these structures is then performed.

4. Careful placement of intercostal drainage tubes, and routine use of the Emerson pleural suction pump is an important adjunct.

5. It should be clearly understood that we vigorously object to mass ligation, large wedge resection, and the use of running sutures.







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