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J Thorac Cardiovasc Surg 2003;126:298-299
© 2003 The American Association for Thoracic Surgery

Brief communication

Use of autologous pleural flap buttress in thoracoscopic lung volume reduction surgery

^a Department of Surgery,^a National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan
^b Department of Pathology,^b National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan

Received for publication October 28, 2002; accepted for publication November 21, 2002.

^* Address for reprints: Yung-Chie Lee, MD, PhD, Department of Surgery, National Taiwan University Hospital, No. 7 Chung-Shan South Rd, Taipei, Taiwan
wuj@ha.mc.ntu.edu.tw

The first 20% of the full text of this article appears below.

Lung volume reduction surgery (LVRS) has been considered an effective procedure for improvement of pulmonary function in cases of severe emphysema with appropriate patient selection.^1,2 Air leakage from the staple line after resection of the emphysematous lung has been a major complication after LVRS.¹ Several techniques, with fibrin glue, bovine pericardial strip buttressing,³ fold plication,⁴ or polyglycolic acid felt buttressing,⁵ have been developed to prevent this postoperative air leakage. Although these techniques substantially reduce major, prolonged, or both air leakages, disadvantages include incorporation of foreign materials and cost. We have recently developed a new technique using an autologous pleural flap to buttress the staple line. The new procedure is simple, effective, and cost free, and it might enhance pleural adhesion after surgical intervention.

Clinical summary

A 62-year-old man who had been a heavy smoker (one pack per day for 50 years) had progressive exertional dyspnea for 5 years before admission. Chronic obstructive pulmonary disease was diagnosed on the basis of chest radiography and spirometry examination. Despite regular use of oral and inhalational bronchodilators and oral prednisolone at the outpatient clinic, the dyspnea symptoms had worsened. After admission, the functional class was assessed as World Health Organization class III, and the patient was mostly confined to bed with nasal oxygen support. The spirometry study revealed a forced vital capacity of . . . [Full Text of this Article]

This article has been cited by other articles:

				V. Baysungur, C. Tezel, G. Ergene, G. Sevilgen, E. Okur, B. Uskul, and S. Halezeroglu The autologous pleural buttressing of staple lines in surgery for bullous lung disease Eur J Cardiothorac Surg, December 1, 2010; 38(6): 679 - 682. [Abstract] [Full Text] [PDF]

				J.-M. Lee, J.-D. Pan, W.-C. Lin, and Y.-C. Lee Using Surgicel to buttress the staple line in lung volume reduction surgery for chronic obstructive pulmonary disease J. Thorac. Cardiovasc. Surg., February 1, 2006; 131(2): 495 - 496. [Full Text] [PDF]