scholarly journals Air leak pattern shown by digital chest drainage system predict prolonged air leakage after pulmonary resection for patients with lung cancer

2018 ◽  
Vol 10 (6) ◽  
pp. 3714-3721 ◽  
Author(s):  
Yasushi Shintani ◽  
Soichiro Funaki ◽  
Naoko Ose ◽  
Tomohiro Kawamura ◽  
Ryu Kanzaki ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pulmonary Resection ◽  
Drainage System ◽  
Air Leakage ◽  
Air Leak ◽  
Chest Drainage ◽  
Digital Chest

scholarly journals A Case of Successful Pleurodesis Using 50% Glucose for Prolonged Air Leakage after Pulmonary Resection for Primary Lung Cancer Combined with Interstitial Pneumonia

2018 ◽  
Vol 66 (6) ◽  
pp. 713
Author(s):  
Yuta KITAGATA ◽  
Yoshimasa MIZUNO ◽  
Kazuhiro KOBAYASHI ◽  
Yoshio MORI ◽  
Naoki KATSUMURA ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Interstitial Pneumonia ◽  
Pulmonary Resection ◽  
Primary Lung Cancer ◽  
Air Leakage

scholarly journals Use of free subcutaneous fat pad for reduction of intraoperative air leak in thoracoscopic pulmonary resection cases with lung cancer

2014 ◽  
Vol 46 (2) ◽  
pp. 324-326 ◽  
Author(s):  
Yasushi Shintani ◽  
Masayoshi Inoue ◽  
Tomoyuki Nakagiri ◽  
Meinoshin Okumura
Keyword(s):  
Lung Cancer ◽  
Pulmonary Resection ◽  
Subcutaneous Fat ◽  
Fat Pad ◽  
Air Leak

scholarly journals PROLONGED AIR LEAK AFTER LUNG RESECTION

2018 ◽  
Vol 3 (4) ◽  
pp. 36-40
Author(s):  
E A Korymasov ◽  
A S Benyan
Keyword(s):  
Lung Resection ◽  
Drainage System ◽  
Diagnostic Algorithm ◽  
Air Leakage ◽  
Air Leak ◽  
Prolonged Air Leak ◽  
Common Causes ◽  
Resection Line ◽  
Lung Resections

Objectives - to analyze the causes of postoperative air leak and to propose a therapeutic and diagnostic algorithm for this complication. Material and methods. The study includes the analysis of the prolonged air leak causes after various lung resections, the classification of the causes according to their affiliation, the designed definitions of basic concepts. Results. The most common causes of prolonged air leakage are the incompetence of the lung resection line, the undetected (unresolved) cause of pneumothorax, the inadequate drainage system function. Various tactical approaches to this problem were described. Depending on the effectiveness of the auxiliary techniques, the indications for repeated operations were determined. Conclusion. Knowledge of the causes of postoperative prolonged pathological air leak is the basis for the optimal management of patients after lung resection.

scholarly journals Complications after Chest Tube Removal and Reinterventions in Patients with Digital Drainage Systems

2019 ◽  
Vol 8 (12) ◽  
pp. 2092
Author(s):  
Yi-Ying Lee ◽  
Po-Kuei Hsu ◽  
Chien-Sheng Huang ◽  
Yu-Chung Wu ◽  
Han-Shui Hsu
Keyword(s):  
Predictive Factors ◽  
Lung Resection ◽  
Drainage System ◽  
Drainage Tube ◽  
Air Leak ◽  
Chest Drainage ◽  
Drainage Systems ◽  
Air Leaks ◽  
Thoracic Drainage ◽  
Tube Removal

Introduction: Digital thoracic drainage systems are a new technology in minimally invasive thoracic surgery. However, the criteria for chest tube removal in digital thoracic drainage systems have never been evaluated. We aim to investigate the incidence and predictive factors of complications and reinterventions after drainage tube removal in patients with a digital drainage system. Method: Patients who received lung resection surgery and had their chest drainage tubes connected with a digital drainage system were retrospectively reviewed. Results: A total of 497 patients were monitored with digital drainage systems after lung resection surgery. A total of 175 (35.2%) patients had air leak-related complications after drainage tube removals, whereas 25 patients (5.0%) required reintervention. We identified that chest drainage duration of five days was an optimal cut-off value in predicting air leak-related complications and reinterventions. In multiple logistic regression analysis, previous chest surgery history; small size (16 Fr.) drainage tubes; the presence of initial air leaks, defined as air leaks recorded by the digital drainage system immediately after operation; and duration of chest drainage ≥5 days were independent factors of air leak-related complications, whereas the presence of initial air leaks and duration of chest drainage ≥5 days were independent predictive factors of reintervention after drainage tube removal. Conclusion: Air leak-related complications and reinterventions after drainage tube removals happened in 35.2% and 5.0% of patients with digital thoracic drainage systems. The management of chest drainage tubes in patients with predictive factors, i.e., the presence of initial air leaks and duration of chest drainage of more than five days, should be treated with caution.

Clinical usefulness of free subcutaneous fat pad for reduction of intraoperative air leakage during thoracoscopic pulmonary resection in lung cancer cases

2014 ◽  
Vol 29 (10) ◽  
pp. 2910-2913 ◽  
Author(s):  
Yasushi Shintani ◽  
Masayoshi Inoue ◽  
Soichiro Funaki ◽  
Tomohiro Kawamura ◽  
Masato Minami ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pulmonary Resection ◽  
Subcutaneous Fat ◽  
Clinical Usefulness ◽  
Air Leakage ◽  
Fat Pad
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