Air Leak Management Program With Digital Drainage Reduces Length of Stay After Lobectomy

The Annals of Thoracic Surgery
Jessica M MayorLorraine D Cornwell

Abstract

Air leaks can impede recovery from lung resection. To help prevent and manage air leaks, we developed a comprehensive program that includes using precompression of lung staple lines, sealant, fissureless video-assisted thoracoscopic (VATS) lobectomy, a digital drainage system, and endobronchial valve placement for prolonged air leak. We assessed the effectiveness of this program on air leak duration, hospital length of stay (LOS), and chest tube duration in our high-risk veteran population. Using a prospectively maintained database, we retrospectively analyzed data from 226 patients who underwent lung resection for cancer by VATS lobectomy in a Veterans Affairs center. Patients were divided into two groups. Group A (n = 134; historical controls) underwent lobectomy from July 2009 through October 2013; group B (n = 92; intervention group) underwent lobectomy from November 2013 through July 2016 and received care per the comprehensive program. The median hospital LOS was significantly shorter in group B than in group A patients (5 days versus 6 days, respectively; p = 0.0001). Group B had a shorter median chest tube duration (2 days versus 3 days, p = 0.027). Prolonged air leak (more than 5 days) occurred in 5.4% of group B and 9...Continue Reading

Citations

Jul 22, 2020·World Journal of Surgical Oncology·Jinzhi YouZhongfeng Zheng
May 18, 2021·Interactive Cardiovascular and Thoracic Surgery·Daisuke EriguchiNorihiko Ikeda
Nov 13, 2020·Seminars in Thoracic and Cardiovascular Surgery·Todd L Demmy
Aug 28, 2020·Seminars in Thoracic and Cardiovascular Surgery·Francesco ZaracaUNKNOWN Italian VATS group

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