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 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 50 Issue: 1
  • Publication Date: 2016
  • Doi Number: 10.1093/ejcts/ezv455
  • Journal Name: EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • 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
  • Marmara University Affiliated: Yes

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.