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

Stamenovic, Davor; BOSTANCI, KORKUT; Messerschmidt, Antje; Jahn, Tillmann; Schneider, Thomas

doi:10.1093/ejcts/ezv455

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

Stamenovic D., BOSTANCI K. , Messerschmidt A., Jahn T., Schneider T.

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY, vol.50, no.1, pp.118-123, 2016 (Journal Indexed in SCI)

Publication Type: Article / Article
Volume: 50 Issue: 1
Publication Date: 2016
Doi Number: 10.1093/ejcts/ezv455
Title of Journal : EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
Page Numbers: pp.118-123
Keywords: Thoracoscopy/video-assisted thoracoscopy, Lung cancer surgery, Parenchymal fistula, Pleural air leak, Lobectomy, MAJOR PULMONARY RESECTIONS, BLOOD PATCH PLEURODESIS, VATS LOBECTOMY, STAPLE LINE, MANAGEMENT, SURGERY, CANCER, TRIAL

Abstract

OBJECTIVES: 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.