HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Federico Venuta Daniele Diso Tiziano De Giacomo Marco Anile Erino A. Rendina Giorgio F. Coloni Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Venuta, F. Articles by Coloni, G. F. Search for Related Content PubMed PubMed Citation Articles by Venuta, F. Articles by Coloni, G. F. Related Collections Lung - cancer Lung - other

J Thorac Cardiovasc Surg 2006;132:422-423
© 2006 The American Association for Thoracic Surgery

Brief Communication

Use of a polymeric sealant to reduce air leaks after lobectomy

University of Rome "La Sapienza," Department of Thoracic Surgery, Rome, Italy

Received for publication March 8, 2006; accepted for publication March 23, 2006.

^_* Address for reprints: Federico Venuta, MD, Cattedra di Chirurgia Toracica, Policlinico Umberto I, University of Rome "La Sapienza," V.le del Policlinico, Rome 00100, Italy (Email: sofed@libero.it).

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

Air leakage is a relatively frequent complication after lobectomy ¹ ; it can be expected in up to 15% of the patients, independently from the type of surgical approach (open or thoracoscopic). The risk increases when interlobar fissures are incomplete and in patients with emphysema; in nearly all series it contributes to increase the length of hospitalization and thus the costs.

Prolonged air leaks is defined as a leakage persisting 7 or more days. ² Ideally, treatment begins with prevention: when fissures are incomplete, meticulous attention should be given to the anatomic planes of interlobar dissection. Several strategies can be employed to reduce the incidence of this complication ³ : staplers and reinforcement materials could be used; a pleural tent or pneumoperitoneum could be performed if at the end of the operation the lung is not likely to reach the chest wall and fill the pleural space; also the use . . . [Full Text of this Article]

This article has been cited by other articles:

				F. Venuta, M. Anile, T. de Giacomo, and G. F. Coloni Prevention of middle lobe torsion after right upper lobectomy with a polymeric sealant J. Thorac. Cardiovasc. Surg., January 1, 2012; 143(1): 240 - 241. [Full Text] [PDF]

				A. Hashimoto, M. Kuwabara, Y. Hirasaki, H. Tsujimoto, T. Torii, T. Nakamura, and A. Hagiwara Reduction of air leaks in a canine model of pulmonary resection with a new staple-line buttress J. Thorac. Cardiovasc. Surg., August 1, 2011; 142(2): 366 - 371. [Abstract] [Full Text] [PDF]

				A. D'Andrilli, C. Andreetti, M. Ibrahim, A. M. Ciccone, F. Venuta, U. Mansmann, and E. A. Rendina A prospective randomized study to assess the efficacy of a surgical sealant to treat air leaks in lung surgery Eur J Cardiothorac Surg, May 1, 2009; 35(5): 817 - 821. [Abstract] [Full Text] [PDF]