Does Fissureless Videothoracoscopic Lobectomy Help for Postoperative Air Leak?
Journal
The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387
Informations de publication
Date de publication:
10 2023
10 2023
Historique:
medline:
11
10
2023
pubmed:
25
1
2023
entrez:
24
1
2023
Statut:
ppublish
Résumé
Postoperative air leak is a common problem in patients undergoing pulmonary resections. A conventional fissure dissection technique during videothoracoscopic lobectomy, particularly in patients with fused fissures is very likely to result in parenchymal damage and prolonged air leak (PAL). In contrast, fissureless video-assisted thoracoscopic surgery (VATS) lobectomy may have advantages regarding PAL and hospital stay. We conducted a retrospective study consisting of 103 consecutive patients who underwent a VATS lobectomy either with a conventional or fissureless technique and statistically analyzed the results particularly with respect to PAL, chest tube duration (CTD), and length of hospital stay (LOS). We had 21 (20.4%) cases with PAL. Gender ( The fissureless technique helps for PAL in patients undergoing videothoracoscopic lobectomy.
Sections du résumé
BACKGROUND
Postoperative air leak is a common problem in patients undergoing pulmonary resections. A conventional fissure dissection technique during videothoracoscopic lobectomy, particularly in patients with fused fissures is very likely to result in parenchymal damage and prolonged air leak (PAL). In contrast, fissureless video-assisted thoracoscopic surgery (VATS) lobectomy may have advantages regarding PAL and hospital stay.
METHODS
We conducted a retrospective study consisting of 103 consecutive patients who underwent a VATS lobectomy either with a conventional or fissureless technique and statistically analyzed the results particularly with respect to PAL, chest tube duration (CTD), and length of hospital stay (LOS).
RESULTS
We had 21 (20.4%) cases with PAL. Gender (
CONCLUSION
The fissureless technique helps for PAL in patients undergoing videothoracoscopic lobectomy.
Identifiants
pubmed: 36693406
doi: 10.1055/s-0043-1760748
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
582-588Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None declared.