Intraoperative and Postoperative Management of Air Leaks in Patients with Emphysema

Thoracic Surgery Clinics

Volumn 19, Issue 2, 2009, Pages 223-231

  Shrager, Joseph B ^a,b   DeCamp, Malcolm M ^c   Murthy, Sudish C ^d  

^a STANFORD UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b VA PALO ALTO HEALTH CARE SYSTEM   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Bronchopleural fistula; Chronic obstructive pulmonary disease; Lung; Lung resection; Lung volume reduction surgery; Pulmonary

Indexed keywords

ADHESIVE AGENT; FIBRIN GLUE;

CHRONIC OBSTRUCTIVE LUNG DISEASE; COMPLICATION; DISEASE SEVERITY; EMPHYSEMA; FORCED EXPIRATORY VOLUME; HUMAN; INCIDENCE; LOBECTOMY; LUNG RESECTION; LUNG SURGERY; MUSCLE FLAP; PARENCHYMAL AIR LEAK; PEROPERATIVE CARE; PLEURECTOMY; PLEURODESIS; PNEUMOTHORAX; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; PROPHYLAXIS; REVIEW; RISK ASSESSMENT; RISK FACTOR; SUTURE; THORAX SURGERY;

FORCED EXPIRATORY VOLUME; HUMANS; INTRAOPERATIVE CARE; PNEUMONECTOMY; POSTOPERATIVE CARE; PULMONARY ATELECTASIS; PULMONARY EMPHYSEMA; RISK FACTORS;

EID: 66249108603     PISSN: 15474127     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.thorsurg.2009.02.004     Document Type: Review

References (50)

1. Varela G., Jimenez M.F., Novoa N., et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg 27 (2005) 329-333
2. Brunelli A., Xiume F., Al Refai M., et al. Air leaks after lobectomy increase the risk of empyema but not of cardiopulmonary complications: a case-matched analysis. Chest 130 (2006) 1150-1156
3. Cho M.H., Malhotra A., Donahue D.M., et al. Mechanical ventilation and air leaks after lung biopsy for acute respiratory distress syndrome. Ann Thorac Surg 82 (2006) 261-266
4. DeCamp M.M., Blackstone E.H., Naunheim K.S., et al. Patient and surgical factors influencing air leak after lung volume reduction surgery: lessons learned from the National Emphysema Treatment Trial. Ann Thorac Surg 82 (2006) 197-206
5. Cerfolio R.J., Bass C.S., Pask A.H., et al. Predictors and treatment of persistent air leaks. Ann Thorac Surg 73 (2002) 1727-1730
6. Irshad K., Feldman L.S., Chu V.F., et al. Causes of increased length of hospitalization on a general thoracic surgery service: a prospective observational study. Can J Surg 45 (2002) 264-268
7. Abolhoda A., Liu D., Brooks A., et al. Prolonged air leak following radical upper lobectomy: an analysis of incidence and possible risk factors. Chest 113 (1998) 1507-1510
8. Bardell T., and Petsikas D. What keeps postpulmonary resection patients in hospital?. Can Respir J 10 (2003) 86-89
9. Linden P.A., Bueno R., Colson Y.L., et al. Lung resection in patients with preoperative FEV1 <35% predicted. Chest 127 (2005) 1984-1990
10. Brunelli A., Monteverde M., Borri A., et al. Comparison of water seal and suction after pulmonary lobectomy: a prospective, randomized trial. Ann Thorac Surg 77 (2004) 1932-1937
11. Cerfolio R.J. Chest tube management after pulmonary resection. Chest Surg Clin N Am 12 (2002) 507-527
12. Stolz A.J., Schutzner J., Lischke R., et al. Predictors of prolonged air leak following pulmonary lobectomy. Eur J Cardiothorac Surg 27 (2005) 334-336
13. Stolz A.J., Schutzner J., Lischke R., et al. Pulmonary resections and prolonged air leak. Cas Lek Cesk 144 (2005) 304-307
14. Wain J.C., Kaiser L.R., Johnstone D.W., et al. Trial of a novel synthetic sealant in preventing air leaks after lung resection. Ann Thorac Surg 71 5 (2001) 1623-1628
15. Stammberger U., Klepetko W., Stamatis G., et al. Buttressing the staple line in lung volume reduction surgery: a randomized three-center study. Ann Thorac Surg 70 6 (2000) 1820-1825
16. Hazelrigg S.R., Boley T.M., Naunheim K.S., et al. Effect of bovine pericardial strips on air leak after stapled pulmonary resection. Ann Thorac Surg 63 (1997) 1573-1575
17. Serra-Mitjans M., Belda-Sanchis J., and Rami-Porta R. Surgical sealant for preventing air leaks after pulmonary resections in patients with lung cancer. Cochrane Database Syst Rev 3 (2005) CD003051
18. Anegg U., Lindenmann J., Matzi V., et al. Efficiency of fleece-bound sealing (TachoSil) of air leaks in lung surgery: a prospective randomised trial. Eur J Cardiothorac Surg 31 (2007) 198-202
19. Venuta F., Diso D., De Giacomo T., et al. Use of a polymeric sealant to reduce air leaks after lobectomy. J Thorac Cardiovasc Surg 132 2 (2006) 422-423
20. Droghetti A., Schiavini A., Muriana P., et al. A prospective randomized trial comparing completion technique of fissures for lobectomy: stapler versus precision dissection and sealant. J Thorac Cardiovasc Surg 136 2 (2008) 383-391
21. Matsumoto I., Ohta Y., Oda M., et al. Free pericardial fat pads can act as sealant for preventing alveolar air leaks. Ann Thorac Surg 80 6 (2005) 2321-2324
22. Brunelli A., Al Refai M., Monteverde M., et al. Pleural tent after upper lobectomy: a randomized study of efficacy and duration of effect. Ann Thorac Surg 74 6 (2002) 1958-1962
23. Okur E., Kir A., Halezeroglu S., et al. Pleural tenting following upper lobectomies or bilobectomies of the lung to prevent residual air space and prolonged air leak. Eur J Cardiothorac Surg 20 5 (2001) 1012-1015
24. Toker A., Dilege S., Tanju S., et al. Perioperative pneumoperitoneum after lobectomy-bilobectomy operations for lung cancer: a prospective study. Thorac Cardiovasc Surg 51 2 (2003) 93-96
25. Cerfolio R.J., Holman W.L., and Katholi C.R. Pneumoperitoneum after concomitant resection of the right middle and lower lobes (bilobectomy). Ann Thorac Surg 70 3 (2000) 942-946
26. Cooper J.D., Patterson G.A., Sundaresan R.S., et al. Results of 150 consecutive bilateral lung volume reduction procedures in patients with severe emphysema. J Thorac Cardiovasc Surg 112 (1996) 1319-1329
27. Cooper J.D., and Patterson G.A. Lung-volume reduction surgery for severe emphysema. Chest Surg Clin N Am 5 (1995) 815-831
28. Cerfolio R.J., Bass C., and Katholi C.R. Prospective randomized trial compares suction versus water seal for air leaks. Ann Thorac Surg 71 (2001) 1613-1617
29. Marshall M.B., Deeb M.E., Bleier J.I., et al. Suction vs water seal after pulmonary resection: a randomized prospective study. Chest 121 (2002) 831-835
30. Brunelli A., Sabbatini A., Xiume F., et al. Alternate suction reduces prolonged air leak after pulmonary lobectomy: a randomized comparison versus water seal. Ann Thorac Surg 80 (2005) 1052-1055
31. Alphonso N., Tan C., Utley M., et al. A prospective randomized controlled trial of suction versus nonsuction to the underwater seal drains following lung resection. Eur J Cardiothorac Surg 27 (2005) 391-394
32. Cooper J.D., Trulock E.P., Triantafillou A.N., et al. Bilateral pneumectomy (volume reduction) for chronic obstructive pulmonary disease. J Thorac Cardiovasc Surg 109 (1995) 106-116
33. Cooper J.D. Technique to reduce air leaks after resection of emphysematous lung. Ann Thorac Surg 57 (1994) 1038-1039
34. McKenna Jr. R.J., Brenner M., Fischel R.J., et al. Patient selection criteria for lung volume reduction surgery. J Thorac Cardiovasc Surg 114 (1997) 957-967
35. DeCamp Jr. M.M. Technical issues and controversies in lung volume reduction surgery. Semin Thorac Cardiovasc Surg 14 (2002) 391-398
36. Fischel R.J., and McKenna R.J. Bovine pericardium versus bovine collagen to buttress staples for lung reduction operations. Ann Thorac Surg 65 (1998) 217-219
37. McKenna R.J., Fischel R.J., Brenner M., et al. Use of the Heimlich valve to shorten hospital stay after lung reduction surgery for emphysema. Ann Thorac Surg 61 (1996) 1115-1117
38. Kirschner P.A. Provocative clamping and removal of chest tubes despite persistent leak. Ann Thorac Surg 53 (1992) 740-741
39. Kilic D., Findikcioglu A., and Hatipoglu A. A different application method of talc pleurodesis for treatment of persistent air leak. ANZ J Surg 76 (2006) 754-756
40. Okereke I., Murthy S.C., Alster J.M., et al. Characterization and importance of air leak after lobectomy. Ann Thorac Surg 79 (2005) 1167-1173
41. Shackcloth M.J., Poullis M., Jackson M., et al. Intrapleural instillation of autologous blood in the treatment of prolonged air leak after lobectomy: a prospective randomized controlled trial. Ann Thorac Surg 82 (2006) 1052-1056
42. Lang-Lazdunski L., and Coonar A.S. A prospective study of autologous blood patch for persistent air leak after pulmonary resection. Eur J Cardiothorac Surg 26 (2004) 897-900
43. Shimizu J., Takizawa M., Yachi T., et al. Postoperative bronchial stump fistula responding well to occlusion with metallic coils and fibrin glue via a tracheostomy. Ann Thorac Cardiovasc Surg 11 (2005) 104-108
44. Ferguson J.S., Sprenger K., and Van Natta T. Closure of a bronchopleural fistula using bronchoscopic placement of an endobronchial valve designed for treatment of emphysema. Chest 129 (2006) 479-481
45. Sterman D., Gillespie C., Cerfolio R., et al. Multicenter experience with bronchial valve treatment of life-threatening prolonged air leaks. Eur Respir J 32 (2008) 262s-263s
46. McKenna Jr. R.J., Benditt J.O., DeCamp M., et al. Safety and efficacy of median sternotomy versus video-assisted thoracic surgery for lung volume reduction surgery. J Thorac Cardiovasc Surg 127 (2004) 1350-1360
47. Thistlethwaite P.A., Luketich J.D., Ferson P.F., et al. Ablation of persistent air leaks after thoracic procedures with fibrin sealant. Ann Thorac Surg 67 (1999) 575-577
48. Colwell A.S., Mentzer S.J., Vargas S.O., et al. The role of muscle flaps in pulmonary aspergillosis. Plast Reconstr Surg 111 (2003) 1147-1150
49. Francel T.J., Lee G.W., Mackinnon S.E., et al. Treatment of long-standing thoracostoma and bronchopleural fistula without pulmonary resection in high-risk patients. Plast Reconstr Surg 99 (1997) 1046-1053
50. Nonami Y., and Ogoshi S. Omentopexy for empyema due to lung fistula following lobectomy. A case report. J Cardiovasc Surg (Torino) 39 (1998) 695-696