Management of the Postresection Space in Tuberculosis

Bell, Jonathan

doi:10.1016/s0096-5588(20)30914-4

Cited by 11 publications

(3 citation statements)

References 10 publications

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“…It is widely accepted that most spaces are related to either bronchial or alveolar air leak. [1][2][3][4][5][6][7][8][9][10][11][12] In our study only 52% of cases presented with this feature. As a consequence the rest could be attributed to the above mentioned factors.…”

Section: Resultsmentioning

confidence: 81%

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Postoperative Residual Pleural Spaces: Characteristics and Natural History

Misthos

Kokotsakis

Konstantinou³

et al. 2007

Asian Cardiovasc Thorac Ann

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This study was conducted in order to re-define the incidence and natural history of postresectional residual pleural spaces (PRS). From 1997 to 2005, 966 patients who were subjected to less than entire lung resections, were followed and any cases of PRS were recorded. The records of these patients were retrospectively analyzed for age, gender, type of resection, side, apical or basal location, size, PRS wall thickness, empyema as well as for bronchopleural fistula occurence, management, and outcome. Postresectional residual pleural spaces outcome was correlated with space characteristics. A total of 92 cases (9.5%) of PRS were documented which developed frequently ( p < 0.001) after upper lobectomies, malignant disease, at an apical location, and on the right side. Unfavorable outcome was strongly correlated with age > 70 years ( p < 0.001), air leak ( p < 0.001), empyema ( p < 0.001), and thickened pleura ( p < 0.001). Good prognosis of PRS was strongly correlated with male gender, apical location, right side, normal pleura thickness, and small size. Postresectional residual pleural spaces of small size without any associated complications should not prolong hospitalization time.

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Section: Resultsmentioning

confidence: 81%

“…In the past the incidence of this complication ranged from 22% to 40%, mainly after lobectomy for tuberculosis. [1][2][3][4][5] These early reports concluded that postresectional space development was an ominous sign for patient's prognosis. Many investigators tried to clarify the factors that contributed to postoperative space formation.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Residual Pleural Spaces: Characteristics and Natural History

Misthos

Kokotsakis

Konstantinou³

et al. 2007

Asian Cardiovasc Thorac Ann

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“…Any residual postoperative intrathoracic space represents a major concern for thoracic surgeons because of possible complications and risks related to this condition [ 3 ]. Its incidence was historically reported to range between 22% and 40%, more frequently after lobectomy for infectious diseases and in particular for tuberculosis [ 33 , 34 ]. Although the main cause of residual pleural space was initially thought to be postoperative bronchopleural fistula, later studies ruled out this hypothesis, disclosing a completely benign aetiology consisting of a size mismatch between the residual lung volume and pleural cavity [ 1 , 35 ].…”

Section: Clinical Consideration (Residual Pleural Space)mentioning

confidence: 99%

The “Balloon-Like” Sign: Differential Diagnosis between Postoperative Air Leak and Residual Pleural Space: Radiological Findings and Clinical Implications of the Young–Laplace Equation

Petrella

Rizzo

Bertolaccini

et al. 2022

Cancers

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In this paper, we propose a radiological sign for an appropriate differential diagnosis between postoperative pleural space and active air leak after lung resection. In the case of residual pleural space without any active air leak, the lung takes the form of a round balloon due to the hyperinflation condition, which is governed by the Young–Laplace equation describing the capillary pressure difference sustained across the interface between two static fluids, such as water and air, due to the phenomenon of wall tension. The two principal mechanisms by which a lung forms a spherical image are shear-controlled detachment induced by shear stress on the membrane surface, and spontaneous detachment induced by a gradient in Young–Laplace pressure. On the contrary, the lung maintains its tapered shape in the case of an active air leak because the continuous air refill does not allow a complete parenchyma re-expansion.

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Intraoperative Measures for Preventing Residual Air Spaces

Rocco

2010

Thoracic Surgery Clinics

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Management of the Postresection Space in Tuberculosis

Cited by 11 publications

References 10 publications

Postoperative Residual Pleural Spaces: Characteristics and Natural History

Postoperative Residual Pleural Spaces: Characteristics and Natural History

The “Balloon-Like” Sign: Differential Diagnosis between Postoperative Air Leak and Residual Pleural Space: Radiological Findings and Clinical Implications of the Young–Laplace Equation

Intraoperative Measures for Preventing Residual Air Spaces

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