Prolonged air leak after segmentectomy: incidence and risk factors

Journal of Thoracic Disease

article

Michael R. Gooseman¹  Alessandro Brunelli²  Nilanjan Chaudhuri²  Richard Milton²  Peter Tcherveniakov²  Kostas Papagiannopoulos²  Laura Valuckiene² 

[1] Department of Cardiothoracic Surgery, Castle Hill Hospital, Hull University Teaching Hospitals;Department of Thoracic Surgery, St. James’s University Hospital, Leeds Teaching Hospitals NHS Trust

关键词: Pulmonary segmentectomy;    prolonged air leak (PAL);    outcome;   

DOI  :  10.21037/jtd-22-623

学科分类：呼吸医学

来源: Pioneer Bioscience Publishing Company

【 摘 要 】

Background: We designed this study to investigate the rate and risk factors of prolonged air leak (PAL) in patients undergoing pulmonary segmentectomy in our unit. Methods: 5 days. Results: One hundred and sixty-eight segmentectomies were performed using video-assisted thoracoscopic surgery (VATS), 13 were open operations and 10 were robotic. PAL occurred in 36 patients (19%). Their average post-operative stay was 2.4 days longer than those without PAL. Logistic regression analysis showed that a low preoperative carbon monoxide lung diffusion capacity (DLCO) (OR 0.98, P<0.001), low body mass index (BMI) (OR 0.95, P=0.002) and the performance of complex segmentectomies (OR 2.2, P<0.001). were significantly associated with PAL. Conclusions: Pulmonary segmentectomies are associated with a not negligible risk of PAL when using real world data, especially in patients with compromised pulmonary function and after complex segmentectomies. This finding is useful to inform the decision-making process.

【 授权许可】

Unknown