Institutional report - Thoracic non-oncologic 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 mlykg 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. 2010 Published European Association Cardio-Thoracic Surgery. rights reserved.