Management of residual pleural space and air leaks after major pulmonary resection

摘要: Postoperative air leaks associated with residual pleural space is a well known complication contributing to prolong hospitalization. Many techniques have been proposed for the treatment of this complication. Between 1999 and 2009, 39 patients (>3 cm at chest X-ray) persisting over three days after major lung resection were enrolled in study. All treated combined pneumoperitoneum autologus blood patch. Pneumoperitoneum obtained by injection 30 ml/kg under diaphragm, using Verres needle through periumbilical area. The patch instillating 100 ml tubes. No experienced complications related procedure. Obliteration was all maximum 96 h postoperatively. Air stopped cases 144 from surgery. Chest tube removed 24 leakage disappearance. Our 10-year experience supports early, use whenever present pulmonary resection. This approach may be recommended because its easiness, safety, effectiveness, low costs.