POSTOPERATIVE PROLONGED AIR LEAKAGE OF TREATING NON-SMALL CELL LUNG CANCER BY VIDEO-ASSISTED THORACOSCOPIC SURGERY AT VIETDUC UNIVERSITY HOSPITAL
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Abstract
Objectives: Comment on complications of postoperative prolonged air leakage (PAL) of video-assisted thoracoscopic surgery lobectomy (VATS lobectomy) for treating non-small cell lung cancer at Viet Duc University Hospital in the period of 2016-2018. Methods: A retrospective descriptive study of PAL ratio/ 84 patients underwent VATS lobectomy with lymph node dissection. Results: The mean age of study group was 57.4±9.52 (from 25 to 78 years old), the male/female ratio = 1.9. The operative time of the PAL group with n = 6 was 213.33 ± 78.91 minutes (the study group with n = 84 was 169.2 ± 47.2 minutes), the chest drainage time of the PAL with n = 6 was 12.33 ± 1.97 days (the study group with n = 84 was 6.31 ± 2.15 days), the hospital stay of the PAL was n = 6 was 14.50 ± 1.87 days (the study group with n = 84 was 9.56 ± 2.56 days). Postoperative PAL ratio: 7.2%. Conclusion: Prolonged air leakage following VATS lobectomy is a common complication in clinical practice. Management of this complication depends on each specific situation in which good intraoperative techiques and postoperative pleural lavage have an important role.
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Keywords
Prolonged air leakage, lung lobectomy, VATS
References
2. Drahush N., Miller A.D., Smith J.S., et al. (2016). Standardized Approach to Prolonged Air Leak Reduction After Pulmonary Resection. Ann Thorac Surg, 101(6), 2097–2101.
3. Sridhar P., Litle V.R., Okada M., et al. (2020). Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection. Thorac Surg Clin, 30(3), 305–314.
4. Seder C.W., Basu S., Ramsay T., et al. (2019). A Prolonged Air Leak Score for Lung Cancer Resection: An Analysis of The Society of Thoracic Surgeons General Thoracic Surgery Database. Ann Thorac Surg, 108(5), 1478–1483.
5. Brunelli A., Chapman K., Pompili C., et al. (2020). Ninety-day hospital costs associated with prolonged air leak following lung resection. Interact Cardiovasc Thorac Surg, 31(4), 507–512.
6. Brunelli A., Cassivi S.D., and Halgren L. (2010). Risk Factors for Prolonged Air Leak After Pulmonary Resection. Thorac Surg Clin, 20(3), 359–364.
7. Burt B.M. and Shrager J.B. (2015). The Prevention and Management of Air Leaks Following Pulmonary Resection. Thorac Surg Clin, 25(4), 411–419.
8. Rice T.W., Okereke I.C., and Blackstone E.H. (2002). Persistent air-leak following pulmonary resection. Chest Surg Clin N Am, 12(3), 529–539.
9. Toloza E.M. and Harpole D.H. (2002). Intraoperative techniques to prevent air leaks. Chest Surg Clin N Am, 12(3), 489–505.
10. Attaar A., Tam V., and Nason K.S. (2020). Risk Factors for Prolonged Air Leak After Pulmonary Resection: A Systematic Review and Meta-analysis. Ann Surg, 271(5), 834–844.