Management of air leaks post-surgical lung resection

被引:21
作者
Bronstein, Matthew E. [1 ]
Koo, Donna C. [2 ]
Weigel, Tracey L. [1 ]
机构
[1] Westchester Med Ctr, Div Thorac Surg, Valhalla, NY USA
[2] New York Med Coll, Valhalla, NY 10595 USA
关键词
Persistent air leak (PAL); elective lung resection; bronchopleural fistula (BPF); fibrin sealant; pleurodesis; endobronchial valve (EBV); pleuravac; VOLUME REDUCTION SURGERY; FIBRIN GLUE; ENDOBRONCHIAL VALVES; PULMONARY RESECTION; SPONTANEOUS PNEUMOTHORAX; CHEMICAL PLEURODESIS; AUTOLOGOUS BLOOD; PARALLEL-GROUP; WATER SEAL; DOXYCYCLINE;
D O I
10.21037/atm.2019.04.30
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Airleaks are one of the most common complications associated with elective lung resection. There have been many techniques and modern advancements in thoracic surgery, however airleaks persist. This review article will discuss several interventions ranging from conservative noninvasive to surgical management of the persistent airleak. These techniques include stopping of suction on the plueravac, fibrin patches, pleurodesis, use of endobronchial valves (EBVs), return to OR for operative intervention, and lastly to send patients home with mini pleuravacs.
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页数:7
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