Predictors of intraoperative and postoperative air leakage in anatomical pulmonary resection.

IF 1.7 4区医学 Q2 SURGERY

Surgery Today Pub Date : 2025-03-03 DOI:10.1007/s00595-025-03004-2

Jotaro Yusa, Kazuhisa Tanaka, Yuki Sata, Takahide Toyoda, Terunaga Inage, Hajime Tamura, Masako Chiyo, Yukiko Matsui, Ichiro Yoshino, Hidemi Suzuki

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引用次数: 0

Abstract

Purpose: Air leakage is a common complication of lung surgery that sometimes requires medical intervention and leads to a prolonged hospital stay. This study assessed the risk factors associated with air leakage following anatomical pulmonary resection.

Methods: We retrospectively analyzed 194 patients who underwent anatomical pulmonary resection in 2020. A risk factor analysis was performed separately for intraoperative air leakage (IAL) and postoperative air leakage (PAL) by examining patient characteristics and operative findings.

Results: Of 194 patients, IAL was observed in 94 (48.4%). The number of staplers used for pulmonary resection and Brinkman index were significantly higher in the IAL group than in the non-IAL group (3.2 vs. 2.5, p = 0.005 and 696.2 vs. 477.1, p = 0.013, respectively). PAL was observed in 40 (20.6%) patients (25 IAL and 15 non-IAL patients). There were more lobectomy cases in the PAL group than in the non-PAL group (77.5 vs 60.4%, p = 0.0447). Pleurodesis was performed in 18 (45%) patients in the PAL group.

Conclusion: The risk factors differed between IAL and PAL. Since most PAL cases involve the IAL, and approximately half of the PAL cases require pleurodesis, attention should be paid to PAL prevention, especially during stapling procedures in the lung parenchyma.

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目的：漏气是肺部手术的常见并发症，有时需要医疗干预并导致住院时间延长。本研究评估了解剖性肺切除术后与漏气相关的风险因素：我们对 2020 年接受解剖肺切除术的 194 名患者进行了回顾性分析。通过研究患者特征和手术结果，分别对术中漏气（IAL）和术后漏气（PAL）进行了风险因素分析：结果：在 194 例患者中，94 例（48.4%）观察到 IAL。IAL 组用于肺切除的订书机数量和布林克曼指数明显高于非 IAL 组（分别为 3.2 对 2.5，p = 0.005 和 696.2 对 477.1，p = 0.013）。在 40 例（20.6%）患者（25 例 IAL 患者和 15 例非 IAL 患者）中观察到 PAL。PAL 组的肺叶切除病例多于非 PAL 组（77.5% 对 60.4%，P = 0.0447）。PAL组中有18例（45%）患者进行了胸膜腔穿刺术：结论：IAL 和 PAL 的风险因素不同。结论：IAL 和 PAL 的风险因素不同，由于大多数 PAL 病例涉及 IAL，且约一半的 PAL 病例需要进行胸膜切开术，因此应注意预防 PAL，尤其是在肺实质内进行订书机手术时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgery Today 医学-外科

CiteScore

4.90

自引率

4.00%

发文量

208

审稿时长

1 months

期刊介绍： Surgery Today is the official journal of the Japan Surgical Society. The main purpose of the journal is to provide a place for the publication of high-quality papers documenting recent advances and new developments in all fields of surgery, both clinical and experimental. The journal welcomes original papers, review articles, and short communications, as well as short technical reports("How to do it"). The "How to do it" section will includes short articles on methods or techniques recommended for practical surgery. Papers submitted to the journal are reviewed by an international editorial board. Field of interest: All fields of surgery.