Aerostasis to limit air leak following extended pleurectomy–decortication-Reference-Cited by-同舟云学术

Aerostasis to limit air leak following extended pleurectomy–decortication

Published:2024-05-01 Issue:5 Volume:65 Page:
ISSN:1873-734X
Container-title:European Journal of Cardio-Thoracic Surgery
language:en
Short-container-title:

Author:

Provoost An-Lies¹²^ORCID,Bouckaert Andreas¹²,Vanluyten Cedric¹²,Barbarossa Annalisa¹²,Nackaerts Kristiaan²³,Weynand Birgit⁴⁵,Coolen Johan⁵⁶,Bouneb Sofian⁷,Theisen-Lauk Olivia⁸,Opitz Isabelle⁸^ORCID,Nafteux Philippe¹²,Ceulemans Laurens J¹²^ORCID

Affiliation:

1. Department of Thoracic Surgery, University Hospitals Leuven , Leuven, Belgium

2. Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven , Leuven, Belgium

3. Department of Pneumology, University Hospitals Leuven , Leuven, Belgium

4. Department of Pathology, University Hospitals Leuven , Leuven, Belgium

5. Department of Imaging and Pathology, KU Leuven , Leuven, Belgium

6. Department of Radiology, University Hospitals Leuven , Leuven, Belgium

7. Department of Anaesthesiology, University Hospitals Leuven , Leuven, Belgium

8. Department of Thoracic Surgery, University Hospitals Zürich , Zürich, Switzerland

Abstract

Abstract Extended pleurectomy–decortication is a cytoreductive surgical treatment for malignant pleural mesothelioma. Prolonged air leak remains a major postoperative challenge, lengthening hospital stay and increasing morbidity. In this video report, we present a stepwise approach for visceral decortication and introduce the concept of aerostasis by construction of an artificial neopleura. Our results suggest that improved aerostasis results in shortened air leak duration.

Publisher

Oxford University Press (OUP)

Link

https://academic.oup.com/ejcts/advance-article-pdf/doi/10.1093/ejcts/ezae181/57390659/ezae181.pdf

Reference8 articles.

1. Complications and predictive factors for air leak > 10 days with neoadjuvant chemotherapy followed by pleurectomy/decortication for malignant pleural mesothelioma;Nakamura;Ann Surg Oncol,2021

2. ERS/ESTS/EACTS/ESTRO guidelines for the management of malignant pleural mesothelioma;Scherpereel;Eur Respir J,2020

3. Development of an effective method utilizing fibrin glue to repair pleural defects in an ex vivo pig model;Kondo;J Cardiothorac Surg,2020

4. The effects of an intentional transition from extrapleural pneumonectomy to extended pleurectomy/decortication;Sharkey;Eur J Cardiothorac Surg,2016

5. Propensity matched comparison of extrapleural pneumonectomy and pleurectomy/decortication for mesothelioma patients;Kostron;Interact CardioVasc Thorac Surg,2017