Fissureless fissure-last video-assisted thoracoscopic lobectomy for all lung lobes: a better alternative to decrease the incidence of prolonged air leak?†

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
Davor StamenovicThomas Schneider

Abstract

Prolonged air leak (PAL) after major lung resections is a common postoperative complication that leads to extended length of hospital stay (LOS) and increased hospital costs. Dissection of the lung tissue through the fissure may increase the incidence of PAL especially in the patients with incomplete fissures. The objective of this study was to evaluate the impact of the fissureless fissure-last technique in VATS lobectomy on immediate outcome, especially relating to air leak and LOS. This is an observational analysis on prospectively collected data of a single thoracic surgery unit. A total of 54 consecutive patients underwent VATS lobectomy and mediastinal lymphadenectomy-in 24 patients conventional VATS lobectomy (Group 1), in 30 patients fissureless VATS lobectomy (Group 2) was performed. The two groups were compared according to preoperative, operative and postoperative parameters. No differences were found when comparing patient characteristics, operation time (M1 = 185 min; M2 = 176 min; P = 0.52) and number of staplers used (M1 = 6.2; M2 = 7.7; P = 0.088). The presence of air leak (P = 0.004; RR = 3.5), PAL (P = 0.003; RR = 10), in days with chest tube (M1 = 7.2; M2 = 4.2; P = 0.028) and LOS (M1 = 12.7; M2 = 8.9; P = 0....Continue Reading

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Citations

Apr 6, 2017·Interactive Cardiovascular and Thoracic Surgery·Shuangjiang LiGuowei Che
Feb 9, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Hiroyuki KogaAtsuyuki Yamataka
Mar 12, 2019·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Hiroaki TsunezukaMasayoshi Inoue
Apr 17, 2018·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Jian ZhouLunxu Liu
Jul 28, 2020·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Charles T WestCecilia Brassett
Jan 17, 2017·Surgery Today·Satoru OkadaMasayoshi Inoue
Apr 21, 2020·The Korean Journal of Thoracic and Cardiovascular Surgery·Young Ho YangKyung-Young Chung
Oct 20, 2020·Journal of Thoracic Imaging·Paula A BayterJustin T Stowell
Aug 20, 2021·Journal of Surgical Case Reports·Mikio OkazakiShinichi Toyooka

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