Subscribe to RSS
DOI: 10.1055/s-2003-38990
Perioperative Pneumoperitoneum after Lobectomy - Bilobectomy Operations for Lung Cancer: A Prospective Study
This manuscript was presented as oral presentation in European Society of Thoracic Surgery Congress which was held in October 26, 2002 in IstanbulPublication History
Received: September 19, 2002
Publication Date:
05 May 2003 (online)
![](https://www.thieme-connect.de/media/thoracic/200302/lookinside/thumbnails/10.1055-s-2003-38990-1.jpg)
Abstract
Background: The aim of this study is to identify the effectiveness of perioperative pneumoperitoneum to prevent air leak after the lobectomy-bilobectomy operations for lung cancer. Methods: A prospective study was designed on consecutive 50 patients who had lobectomy-bilobectomy operations for lung cancer and whose remnant lung had failed to fill the half of the hemithoracic cavity under 30 cm H2O positive pressure ventilation during the operation with totally relaxed diaphragm. The patients were divided into two groups: group 1 (25 patients) with perioperative pneumoperitoneum, group 2 (25 patients) without perioperative pneumoperitoneum. Results: The statistical analysis between the two groups did not show any significant difference in terms of age, preoperative FEV1, and the type of resection. Perioperative pneumoperitoneum significantly reduced the duration of postoperative air leak (2.2 ± 1.15 days vs. 6.04 ± 3.27 days p < 0.0001) and total chest tube drainage time (3.84 ± 0.98 days vs. 7.88 ± 3.16 days p < 0.001). Conclusion: Perioperative pneumoperitoneum after lobectomy-bilobectomy operations for lung cancer is an effective method to decrease air leak and chest tube drainage time.
Key words
Pneumoperitoneum - lobectomy-bilobectomy - air leak
References
- 1 Rice T W, Kirby T J. Prolonged air leak. Chest Surg Clin North Am. 1992; 2 803-811
-
2 Shields T W.
General features of pulmonary resections. In: Shields TW, Lo Cicero J, Ponn RB, eds General Thoracic Surgery. Philadelphia: Lippincott Williams & Wilkins 2000: 375-384 -
3 Shields T W.
General features of pulmonary resections. In: Shields TW, ed General Thoracic Surgery. Philadelphia: Williams & Wilkins 1994: 391-414 - 4 Brunelli A, Refai M A, Muti M, Sabbatini A, Fianchini A. Pleural tent after upper lobectomy: a prospective randomized study. Ann Thorac Surg. 2000; 89 1722-1724
- 5 Okur E, Kir A, Halezaroglu S, Alpay L, Atasalihi A. Pleural tenting following upper lobectomies or bilobectomies of the lung to prevent air space and prolonged air leak. Eur J Cardio-thoracic Surg. 2001; 20 1012-1015
- 6 Deslauriers J. Indication for completion pneumonectomy. Ann Thorac Surg. 1988; 46 133-139
- 7 Handy J R, Judson M A, Zellner J L. Pneumoperitoneum to treat air leaks and spaces after lung volume reduction operation. Ann Thorac Surg. 1997; 64 1803-1805
- 8 Toker A, Dilege S, Bostanci K, Kalayci G. Perioperative pneumoperitoneum to prevent space and air leak after lobectomy operations. Turkish Respiratory Journal. 2000; 1 9-11
- 9 Carbognani P, Spaggiari L, Solli P G, Tincani G, Bobbio A, Rusca M. Postoperative pneumoperitoneum for prolonged airleaks and residual spaces after pulmonary resections. J Cardiovasc Surg. 1999; 40 887-888
- 10 de Giacomo T, Rendina E A, Venuta F, Francioni F, Moretti M, Pugliese F, Coloni G F. Pneumoperitoneum for the management of pleural air space problems associated with major pulmonary resections. Ann Thorac Surg. 2001; 72 1716-1719
- 11 Carbognani P, Tincani G, Solli P, Galimberti A, Cattelani L, Bobbio A, Rusca M. The bilobectomies for lung cancer. J Cardiovasc Surg. 2001; 42 421-424
- 12 Cerfolio R J, Holman W L, Katholi J R. Pneumoperitoneum after concomitant resection of the right middle and lower lobes (bilobectomy). Ann Thorac Surg. 2000; 70 942-946
MD Alper Toker
İnönü Cad, Yıdız Sok
STFA Blokları B/6 Blok No:13
81090 Kozyatağı, Istanbul
Turkey
Phone: +90/216/4166426
Fax: +90/216/3384380
Email: aetoker@superonline.com