Predictors of prolonged air leak following pulmonary lobectomy

Stolz, A; Schützner, J; Lischke, Robert; Šimonek, Jan; Pafko, Pavel

doi:10.1016/j.ejcts.2004.11.004

Cited by 109 publications

(80 citation statements)

References 11 publications

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“…A number of studies have assessed the risk factors of PAL. Male patients (5,17), patients with preoperative pulmonary dysfunction (such as emphysema and COPD) (8,18,19), pleural adhesion and less developed fissure (14,20) were prone to have PAL. The operation performed by different surgeons would also affect the incidence of PAL (4).…”

Section: Discussionmentioning

confidence: 99%

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Prolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery

et al. 2017

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Background: Prolonged air leak (PAL) is one of the most common postoperative complications after pulmonary resection. The aim of this study was to reveal the incidence and risk factors of PAL in videoassisted thoracic surgery (VATS) lung cancer resection, and to evaluate the effect of PAL on postoperative complications, postoperative length of stay (PLOS), and medical costs. Methods: Continuous patients who underwent VATS major pulmonary resection for lung cancer betweenJanuary 2014 and December 2015 were studied. Clinical data of these patients were obtained from the Western China Lung Cancer Database. PAL was defined as air leak more than 5 days after surgery. The risk factors for PAL were analyzed, as well as the effect of PAL on postoperative clinical recovery.

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Section: Discussionmentioning

confidence: 99%

“…Patients with PAL were also prone to have longer drainage time and higher incidence of postoperative complications (6)(7)(8). Therefore, those patients would have a prolonged length of stay (LOS) and increased medical costs than the…”

Section: Introductionmentioning

confidence: 99%

Prolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery

et al. 2017

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“…COPD is the common cause of spontaneous seconder pneumothorax and the most consistently identified risk factor for persistent air leak that is detected in 20% of COPD patients (1). Also it is reported in up to 45% of cases who have undergone lung volume reduction surgery due to pulmonary emphysema (5).…”

Section: Discussionmentioning

confidence: 99%

“…Persistent air leaks are frequent after pulmonary resection, but can occur as a complication of lung diseases especially chronic obstructive lung disease (COPD) (1). It may affect up to 20% of COPD patients (2).…”

Section: Introductionmentioning

confidence: 99%

Treatment of persistent air leak with endobronchial valves: a case report

Çetınkaya

Yaşar²,

Acat³

2015

Tuberk Toraks

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142was treated with bullectomy five years ago. He had been admitted to the hospital for three times with a similar presentation; a spontaneous, right basal pneumothorax and was treated with tube thoracostomy. He was conscious, with vital signs of arterial blood pressure 135/80 mmHg, the heart rate 92 beats per minute, respiratory rate 28 per minute and an oxygen saturation of 89% at room air. There were decreased respiratory sounds in all zones on the right lung auscultation. Chest imaging demonstrated a total pneumothorax in the right lung (Figure 1). On thoracic-computed tomography (CT), bullous areas at the apexes of both lungs and a right pneumothorax were observed (Figure 2). Tube thoracostomy was performed. Although he had clinically improved, there was no improvement of the right pneumothorax, therefore surgery was considered. But this was

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“…No universal consensus exist as to the exact duration of air leak which constitutes a prolonged air leak, but it is generally regarded to exist if it is present for more than 5 days(1-4) or 7 days(2, 5-7) after initial surgery. It is an important complication that results in increased length of stay (8)(9)(10)(11)(12)(13)(14)(15) and has been associated with other post-operative complications such as pneumonia (12,14,16), empyema (9,10,16) and ICU re-admission (12).…”

Section: Introductionmentioning

confidence: 99%