The anticipation and management of air leaks and residual spaces post lung resection

Journal of Thoracic Disease

Volumn 6, Issue 3, 2014, Pages 271-284

  Mueller, Michael Rolf ^a   Marzluf, Beatrice A ^a  

^a OTTO WAGNER HOSPITAL   (Austria)

Author keywords

Infectious conditions; Management; Postoperative apical space; Prevention; Prolonged postoperative air leak

Indexed keywords

BLOOD PATCH; CHEST TUBE; DISEASE ACTIVITY; DISEASE ASSOCIATION; FLUTTER VALVE; HIGH RISK PATIENT; HUMAN; INTRABRONCHIAL VALVE; LUNG HYDATID CYST; LUNG RESECTION; LUNG SEALING; LUNG TUBERCULOSIS; MEDICAL DECISION MAKING; MEDICAL PROCEDURES; OUTCOME ASSESSMENT; PATHOPHYSIOLOGY; PLASTIC SURGERY; PLEURAL TENTING; PNEUMOPERITONEUM; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREDICTION; PROLONGED AIR LEAKAGE; REOPERATION; RESIDUAL APICAL SPACE; RESPIRATORY EQUIPMENT; REVIEW; RISK ASSESSMENT; RISK FACTOR; STAPLE LINE BUTTRESSING; SUCTION DRAINAGE; SURGICAL DRAINAGE; SYNDROME DELINEATION; TREATMENT RESPONSE;

EID: 84896043709     PISSN: 20721439     EISSN: 20776624     Source Type: Journal    
DOI: 10.3978/j.issn.2072-1439.2013.11.29     Document Type: Review

References (82)

1. Bülau G. Für die Heber-Drainage bei Behandlung des Empyems. Zeitschrift für klinische Medicin 1891;18:31-45.
2. Meyer JA. Gotthard Bülau and closed water-seal drainage for empyema, 1875-1891. Ann Thorac Surg 1989;48:597-9.
3. Filosso PL, Ruffini E, Solidoro P, et al. Digital air leak monitoring after lobectomy for primary lung cancer in patients with moderate COPD: can a fast-tracking algorithm reduce postoperative costs and complications? J Cardiovasc Surg (Torino) 2010;51:429-33.
4. Engdahl O, Boe J. Quantification of aspirated air volume reduces treatment time in pneumothorax. Eur Respir J 1990;3:649-52.
5. Macchiarini P, Wain J, Almy S, et al. Experimental and clinical evaluation of a new synthetic, absorbable sealant to reduce air leaks in thoracic operations. J Thorac Cardiovasc Surg 1999;117:751-8.
6. Okereke I, Murthy SC, Alster JM, et al. Characterization and importance of air leak after lobectomy. Ann Thorac Surg 2005;79:1167-73.
7. Cerfolio RJ, Tummala RP, Holman WL, et al. A prospective algorithm for the management of air leaks after pulmonary resection. Ann Thorac Surg 1998;66:1726-31.
8. Alphonso N, Tan C, Utley M, et al. A prospective randomized controlled trial of suction versus non-suction to the under-water seal drains following lung resection. Eur J Cardiothorac Surg 2005;27:391-4.
9. Marshall MB, Deeb ME, Bleier JI, et al. Suction vs water seal after pulmonar y resection: a randomized prospective study. Chest 2002;121:831-5.
10. Okamoto J, Okamoto T, Fukuyama Y, et al. The use of a water seal to manage air leaks after a pulmonary lobectomy: a retrospective study. Ann Thorac Cardiovasc Surg 2006;12:242-4.
11. Singhal S, Ferraris VA, Bridges CR, et al. Management of alveolar air leaks after pulmonary resection. Ann Thorac Surg 2010;89:1327-35.
12. Stéphan F, Boucheseiche S, Hollande J, et al. Pulmonary complications following lung resection: a comprehensive analysis of incidence and possible risk factors. Chest 2000;118:1263-70.
13. Abolhoda A, Liu D, Brooks A, et al. Prolonged air leak following radical upper lobectomy: an analysis of incidence and possible risk factors. Chest 1998;113:1507-10.
14. Ciccone AM, Meyers BF, Guthrie TJ, et al. Long-term outcome of bilateral lung volume reduction in 250 consecutive patients with emphysema. J Thorac Cardiovasc Surg 2003;125:513-25.
15. Bardell T, Petsikas D. What keeps postpulmonary resection patients in hospital? Can Respir J 2003;10:86-9.
16. Elsayed H, McShane J, Shackcloth M. Air leaks following pulmonary resection for lung cancer: is it a patient or surgeon related problem? Ann R Coll Surg Engl 2012;94:422-7.
17. Romano PS, Mark DH. Patient and hospital characteristics related to inhospital mortality after lung cancer resection. Chest 1992;101:1332-7.
18. Wada H, Nakamura T, Nakamoto K, et al. Thirty-day operative mortality for thoracotomy in lung cancer. J Thorac Cardiovasc Surg 1998;115:70-3.
19. Brunelli A, Xiume F, Al Refai M, et al. Air leaks after lobectomy increase the risk of empyema but not of cardiopulmonary complications: a casematched analysis. Chest 2006;130:1150-6.
20. Varela G, Jiménez MF, Novoa N, et al. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg 2005;27:329-33.
21. Irshad K, Feldman LS, Chu VF, et al. Causes of increased length of hospitalization on a general thoracic surgery service: a prospective observational study. Can J Surg 2002;45:264-8.
22. DeCamp MM, Blackstone EH, Naunheim KS, 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 2006;82:197-206; discussion 206-7.
23. Ranger WR, Halpin D, Sawhney AS, et al. Pneumostasis of experimental air leaks with a new photopolymerized synthetic tissue sealant. Am Surg 1997;63:788-95.
24. Sánchez PG, Vendrame GS, Madke GR, et al. Lobectomy for treating bronchial carcinoma: analysis of comorbidities and their impact on postoperative morbidity and mortality. J Bras Pneumol 2006;32:495-504.
25. Ochroch A, Barnett R. eds. (2002) Synthetic Sealants for Preventing Air Leaks after Pulmonary Resection. Official Newsletter of the Society of Cardiovascular Anesthesiologists.
26. Gómez-Caro A, Calvo MJ, Lanzas JT, et al. The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy. Eur J Cardiothorac Surg 2007;31:203-8.
27. Keller CA. Lasers, staples, bovine pericardium, talc, glue and.suction cylinders? Tools of the trade to avoid air leaks in lung volume reduction surgery. Chest 2004;125:361-3.
28. Mohsen T, Zeid AA, Haj-Yahia S. Lobectomy or pneumonectomy for multidrug-resistant pulmonary tuberculosis can be performed with acceptable morbidity and mortality: a seven-year review of a single institution's experience. J Thorac Cardiovasc Surg 2007;134:194-8.
29. Olcmen A, Gunluoglu MZ, Demir A, et al. Role and outcome of surgery for pulmonary tuberculosis. Asian Cardiovasc Thorac Ann 2006;14:363-6.
30. Lang-Lazdunski L, Offredo C, Le Pimpec-Barthes F, et al. Pulmonary resection for Mycobacterium xenopi pulmonary infection. Ann Thorac Surg 2001;72:1877-82.
31. Amin R, Noone PG, Ratjen F. Chemical pleurodesis versus surgical intervention for persistent and recurrent pneumothoraces in cystic fibrosis. Cochrane Database Syst Rev 2009;(2):CD007481.
32. Csekeo A, Agócs L, Egerváry M, et al. Surgery for pulmonary aspergillosis. Eur J Cardiothorac Surg 1997;12:876-9.
33. Brunelli A, Monteverde M, Borri A, et al. Predictors of prolonged air leak after pulmonary lobectomy. Ann Thorac Surg 2004;77:1205-10; discussion 1210.
34. Brunelli A, Varela G, Refai M, et al. A scoring system to predict the risk of prolonged air leak after lobectomy. Ann Thorac Surg 2010;90:204-9.
35. Lee L, Hanley SC, Robineau C, et al. Estimating the risk of prolonged air leak after pulmonary resection using a simple scoring system. J Am Coll Surg 2011;212:1027-32.
36. Billé A, Borasio P, Gisabella M, et al. Air leaks following pulmonary resection for malignancy: risk factors, qualitative and quantitative analysis. Interact Cardiovasc Thorac Surg 2011;13:11-5.
37. Cerfolio RJ, Bass C, Katholi CR. Prospective randomized trial compares suction versus water seal for air leaks. Ann Thorac Surg 2001;71:1613-7.
38. 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 2001;20:1012-5.
39. Shields TW. eds. Complications of Pulmonary Resections. In: General Thoracic Surgery, vol 1. Lippincott Williams & Wilkins, 2005:572.
40. Barker WL. Natural history of residual air spaces after pulmonary resection. Chest Surg Clin N Am 1996;6:585-613.
41. Solak O, Sayar A, Metin M, et al. Definition of postresectional residual pleural space. Can J Surg 2007;50:39-42.
42. Rice TW, Okereke IC, Blackstone EH. Persistent air-leak following pulmonary resection. Chest Surg Clin N Am 2002;12:529-39.
43. Deslauriers J. Indications for completion pneumonectomy. Ann Thorac Surg 1988;46:133.
44. Handy JR Jr, Judson MA, Zellner JL. Pneumoperitoneum to treat air leaks and spaces after a lung volume reduction operation. Ann Thorac Surg 1997;64:1803-5.
45. De Giacomo T, Rendina EA, Venuta F, et al. Pneumoperitoneum for the management of pleural air space problems associated with major pulmonary resections. Ann Thorac Surg 2001;72:1716-9.
46. Carbognani P, Spaggiari L, Solli P, et al. Pneumoperitoneum for prolonged air leaks after lower lobectomies. Ann Thorac Surg 1998;66:604-5.
47. Toker A, Dilege S, Tanju S, et al. Perioperative pneumoperitoneum after lobectomy -- bilobectomy operations for lung cancer: a prospective study. Thorac Cardiovasc Surg 2003;51:93-6.
48. Robinson CL. Autologous blood for pleurodesis in recurrent and chronic spontaneous pneumothorax. Can J Surg 1987;30:428-9.
49. Cagirici U, Sahin B, Cakan A, et al. Autologous blood patch pleurodesis in spontaneous pneumothorax with persistent air leak. Scand Cardiovasc J 1998;32:75-8.
50. Rivas de Andrés JJ, Blanco S, de la Torre M. Postsurgical pleurodesis with autologous blood in patients with persistent air leak. Ann Thorac Surg 2000;70:270-2.
51. Lang-Lazdunski L, Coonar AS. A prospective study of autologous 'blood patch' pleurodesis for persistent air leak after pulmonary resection. Eur J Cardiothorac Surg 2004;26:897-900.
52. Droghetti A, Schiavini A, Muriana P, et al. Autologous blood patch in persistent air leaks after pulmonary resection. J Thorac Cardiovasc Surg 2006;132:556-9.
53. Shackcloth MJ, 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 2006;82:1052-6.
54. Andreetti C, Venuta F, Anile M, et al. Pleurodesis with an autologous blood patch to prevent persistent air leaks after lobectomy. J Thorac Cardiovasc Surg 2007;133:759-62.
55. Ozpolat B. Autologous blood patch pleurodesis in the management of prolonged air leak. Thorac Cardiovasc Surg 2010;58:52-4.
56. Chambers A, Routledge T, Billè A, et al. Is blood pleurodesis effective for determining the cessation of persistent air leak? Interact Cardiovasc Thorac Surg 2010;11:468-72.
57. Cooper JD, Patterson GA, Sundaresan RS, et al. Results of 150 consecutive bilateral lung volume reduction procedures in patients with severe emphysema. J Thorac Cardiovasc Surg 1996;112:1319-29; discussion 1329-30.
58. Cooper JD, Patterson GA. Lung-volume reduction surgery for severe emphysema. Chest Surg Clin N Am 1995;5:815-31.
59. Brunelli A, Monteverde M, Borri A, et al. Comparison of water seal and suction after pulmonary lobectomy: a prospective, randomized trial. Ann Thorac Surg 2004;77:1932-7; discussion 1937.
60. 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 2005;80:1052-5.
61. Ferguson JS, Sprenger K, Van Natta T. Closure of a bronchopleural fistula using bronchoscopic placement of an endobronchial valve designed for the treatment of emphysema. Chest 2006;129:479-81.
62. Travaline JM, McKenna RJ Jr, De Giacomo T, et al. Treatment of persistent pulmonary air leaks using endobronchial valves. Chest 2009;136:355-60.
63. Wood DE, Cerfolio RJ, Gonzalez X, et al. Bronchoscopic management of prolonged air leak. Clin Chest Med 2010;31:127-33, Table of Contents.
64. Firlinger I, Stubenberger E, Müller MR, et al. Endoscopic one-way valve implantation in patients with prolonged air leak and the use of digital air leak monitoring. Ann Thorac Surg 2013;95:1243-9.
65. Brims FJ, Maskell NA. Ambulatory treatment in the management of pneumothorax: a systematic review of the literature. Thorax 2013;68:664-9.
66. Miscall L, Duffy RW, Nolan RB, et al. The pleural tent as a simultaneous tailoring procedure in combination with pulmonary resection. Am Rev Tuberc 1956;73:831-52.
67. Hansen JL. Parietal pleurolysis (the pleural tent) as a simultaneous spacereducing procedure in combination with pulmonary resection. Acta Chir Scand 1957;112:485-8.
68. Allama AM. Pleural tent for decreasing air leak following upper lobectomy: a prospective randomised trial. Eur J Cardiothorac Surg 2010;38:674-8.
69. 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 2002;74:1958-62.
70. Okur E, Arisoy Y, Baysungur V, et al. Prophylactic intraoperative pneumoperitoneum decreases pleural space problems after lower lobectomy or bilobectomy of the lung. Thorac Cardiovasc Surg 2009;57:160-4.
71. Belda-Sanchís J, Serra-Mitjans M, Iglesias Sentis M, et al. Surgical sealant for preventing air leaks after pulmonary resections in patients with lung cancer. Cochrane Database Syst Rev 2010;(1):CD003051.
72. Miller JI Jr, Landreneau RJ, Wright CE, et al. A comparative study of buttressed versus nonbuttressed staple line in pulmonary resections. Ann Thorac Surg 2001;71:319-22; discussion 323.
73. Chen CH, Liao WC, Liu YH, et al. Secondary spontaneous pneumothorax: which associated conditions benefit from pigtail catheter treatment? Am J Emerg Med 2012;30:45-50.
74. Chaudhry I, Bojal S, Attia A, et al. Multimodality management of extensive tuberculous bullous disease of lung with bilateral pneumothorax. Ann Thorac Surg 2010;90:304-5.
75. Yaldiz S, Gursoy S, Ucvet A, et al. Capitonnage results in low postoperative morbidity in the surgical treatment of pulmonary echinococcosis. Ann Thorac Surg 2012;93:962-6.
76. Mueller MR. Invited commentary. Ann Thorac Surg 2012;93:967.
77. De Giacomo T, Diso D, Ferrazza G, et al. Successful treatment of infected residual pleural space after pulmonary resection with autologous plateletleukocyte gel. Ann Thorac Surg 2009;88:1689-91.
78. Woo E, Tan BK, Lim CH. Treatment of recalcitrant air leaks: the combined latissimus dorsi-serratus anterior flap. Ann Plast Surg 2009;63:188-92.
79. Rergkliang C, Chetpaophan A, Chittithavorn V, et al. Surgical management of pulmonary cavity associated with fungus ball. Asian Cardiovasc Thorac Ann 2004;12:246-9.
80. Al-Kattan K, Ashour M, Hajjar W, et al. Surgery for pulmonary aspergilloma in post-tuberculous vs. immuno-compromised patients. Eur J Cardiothorac Surg 2001;20:728-33.
81. Rocco G. Pleural partition with intrathoracic muscle transposition (muscle tent) to manage residual spaces after subtotal pulmonary resections. Ann Thorac Surg 2004;78:e74-6.
82. Hopkins RA, Ungerleider RM, Staub EW, et al. The modern use of thoracoplasty. Ann Thorac Surg 1985;40:181-7.