Prolonged air leak following lung resection - does Tri-staplerTM technology improve the incidence?
نویسندگان
چکیده
Background/Introduction Prolonged air leak following lung resection leads to delayed discharge and increases risk of infection. The incidence of prolonged air leak (defined as greater than 7 days) is approx. 9% in the U.K. (SCTS Cardiothoracic Surgery database 2011). The Covidien Tri-staplerTM technology (Covidien, Mansfield, MA) claims to improve air leak rates following lung resection through improved vascularity at the suture line. We started using these staplers in August 2012.
منابع مشابه
Does external pleural suction reduce prolonged air leak after lung resection? Results from the AirINTrial after 500 randomized cases.
BACKGROUND External pleural suction is used after lung resection to promote lung expansion and minimize air leak duration. Published randomized trials failed to prove this advantage but they are limited in number and underpowered in many cases. The aim of the AirINTrial study was to test the hypothesis that external pleural suction may reduce the rate of prolonged air leak in a large, randomize...
متن کاملProlonged length of stay associated with air leak following pulmonary resection has a negative impact on hospital margin
BACKGROUND Protracted hospitalizations due to air leaks following lung resections are a significant source of morbidity and prolonged hospital length of stay (LOS), with potentially significant impact on hospital margins. This study aimed to evaluate the relationship between air leaks, LOS, and financial outcomes among discharges following lung resections. MATERIALS AND METHODS The Medicare P...
متن کاملIntraoperative ventilatory leak predicts prolonged air leak after lung resection: A retrospective observational study
Prolonged air leak (PAL), defined as air leak more than 5 days after lung resection, has been associated with various adverse outcomes. However, studies on intraoperative risk factors for PAL are not sufficient. We investigated whether the intraoperative ventilatory leak (VL) can predict PAL. A retrospective study of 1060 patients with chest tubes after lung resection was conducted. Tidal volum...
متن کاملبه کار گیری پلورال تنت پس از لوبکتومی های لوب فوقانی ریه در بیماران بیمارستان امام خمینی (ره) تهران سال 80-78
Background and purpose : Apical residual air space and prolonged air leakage are not uncommon entities following resection of upper lobe of the lung. This study was carried out to observe the efficacy of the pleural tenting in preventing complications. Materials and methods : This is a case series study that compared with historical control. Pleural tenting after upper or upper and middle ...
متن کاملBronchial valve treatment for pulmonary air leak after anatomical lung resection for cancer.
A persistent post-operative pulmonary expiratory air leak after an anatomical pulmonary resection is usually managed conservatively, but can be associated with significant morbidity and increased costs. The use of bronchial valves is a minimally invasive method that may be an effective and safe treatment in this setting. In a prospective study, the clinical efficacy of intrabronchial valve trea...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Journal of cardiothoracic surgery
دوره 10 Suppl 1 شماره
صفحات -
تاریخ انتشار 2015