https://doi.org/10.4081/monaldi.2023.2474
Persistent alveolar air leak following pulmonary lobectomy: an old problem in a modern era
Submitted: November 4, 2022
Accepted: January 16, 2023
Published: January 26, 2023
Accepted: January 16, 2023
Abstract Views: 774
PDF: 211
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Persistent alveolar air leak (PAAL) after major lung resection remains a common complication in thoracic surgery. The aim of this study was to identify a subset of patients with high risk of developing PAAL after pulmonary lobectomy. Another objective was to evaluate the influence of PAAL on postoperative complications and length of hospital stay. A retrospective analysis on 895 patients undergoing pulmonary lobectomy from January 2014 to December 2019 was performed. PAAL was defined as air leak lasting more than 5 days after lung surgery. Univariate analyses and logistic regressions were performed to identify the predictors of PAAL. A backward selection algorithm was used to identify the optimal set of predictors. The incidence of PAAL was 8.2% (74/895). Male gender (p=0.017), BMI (p<0.001), transient ischemic attack (p=0.031), FEV1 (p=0.018), lobectomy combined with adjacent subsegmentectomy (p=0.018), partial and extended pleural adhesions (p=0.033 and p=0.038, respectively) were identified as independent risk factors for PAAL through logistic regression. A weak positive correlation was found between video-assisted thoracic surgery (VATS) and PAAL following pulmonary lobectomy (p=0.100). PAAL was found to be associated with higher risk of postoperative morbidity (p=0.002) and with longer hospital stay (p<0.001). Both preoperative and intraoperative risk factors may be responsible for PAAL after pulmonary lobectomy. VATS does not appear to prevent this postoperative complication. An alveolar air leak lasting beyond 5 days after pulmonary lobectomy is associated with worse postoperative outcomes.
Cerfolio RJ. Early postoperative complications. In: Patterson GA, Cooper JD, Deslauriers J, et al. editors. Pearson’s Thoracic & Esophageal Surgery 3rded. Churchill Livingstone, Philadelphia: 2008. pp. 160-165.
DOI: https://doi.org/10.1016/B978-0-443-06861-4.50016-2
Varela G, Jimènez MF, Novoa N, Aranda JL. Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy. Eur J Cardiothorac Surg 2005;27:329-33.
DOI: https://doi.org/10.1016/j.ejcts.2004.11.005
Keagy BA, Lores ME, Starek PJ, et al. Elective pulmonary lobectomy: factors associated with morbidity and operative mortality. Ann Thorac Surg 1985;40:349-52.
DOI: https://doi.org/10.1016/S0003-4975(10)60065-3
Zhao K, Mei J, Xia C, et al. Prolonged air leak after video-assisted thoracic surgery lung cancer resection: risk factors and its effect on postoperative clinical recovery. J Thorac Dis 2017; 9:1219-25.
DOI: https://doi.org/10.21037/jtd.2017.04.31
Rice TW, Kirby TTJ. Prolonged air leak. Chest Surg Clin North Am 1992;2:803-11.
Clark JM, Cooke DT, Brown LM. Management of complications after lung resection: prolonged air leak and bronchopleural fistula. Thorac Surg Clin 2020;30:347-58.
DOI: https://doi.org/10.1016/j.thorsurg.2020.04.008
Brunelli A, Monteverde M, Borri A, et al. Predictors of prolonged air leak after pulmonary lobectomy. Ann Thorac Surg 2004;77:1205-10.
DOI: https://doi.org/10.1016/j.athoracsur.2003.10.082
Brunelli A, Varela G, Refai M, et al. A scoring system to predict the risk of prolonged air leak after lobectomy. Ann Thorac Surg 2010;90:204-9.
DOI: https://doi.org/10.1016/j.athoracsur.2010.02.054
Cerfolio RJ, Pickens A, Bass C, Katholi C. Fast-tracking pulmonary resections. J Thorac Cardiovasc Surg 2001;122:318-24.
DOI: https://doi.org/10.1067/mtc.2001.114352
Seder CW, Basu S, Ramsay T, et al. A prolonged air leak score for lung cancer resection: an analysis of the Society of Thoracic Surgeons General Thoracic Surgery Database. Ann Thorac Surg 2019;108:1478-83.
DOI: https://doi.org/10.1016/j.athoracsur.2019.05.069
French DG, Plourde M, Henteleff H, et al. Optimal management of postoperative parenchymal air leaks. J Thorac Dis 2018;10:S3789-98.
DOI: https://doi.org/10.21037/jtd.2018.10.05
Pompili C, Falcoz PE, Salati M, et al. A risk score to predict the incidence of prolonged air leak after video-assisted thoracoscopic lobectomy: an analysis from the European Society of Thoracic Surgeons database. J Thorac Cardiovasc Surg 2017;153:957-65.
DOI: https://doi.org/10.1016/j.jtcvs.2016.11.064
Rivera C, Bernard A, Falcoz PE, et al. Characterization and prediction of prolonged air leak after pulmonary resection: a nationwide study setting up the index of prolonged air leak. Ann Thorac Surg 2011;92:1062-8.
DOI: https://doi.org/10.1016/j.athoracsur.2011.04.033
Lee L, Hanley SC, Robineau C, et al. Estimating the risk of prolonged air leak after pulmonary resection using a simple scoring system. J Am Coll Surg 2011;212:1027-32.
DOI: https://doi.org/10.1016/j.jamcollsurg.2011.03.010
Viti A, Socci L, Congregado M, et al. The everlasting issue of prolonged air leaks after lobectomy for non-small cell lung cancer: A data-driven prevention planning model in the era of minimally invasive approaches. J Surg Oncol 2018;118:1285-91.
DOI: https://doi.org/10.1002/jso.25289
Elsayed H, McShane J, Shackcloth M. Air leaks following pulmonary resection for lung cancer: is it a patient or surgeon related problem? Ann R Coll Surg Engl 2012;94:422-7.
DOI: https://doi.org/10.1308/003588412X13171221592258
Okereke I, Murthy SC, Alster JM, et al. Characterization and importance of air leak after lobectomy. Ann Thorac Surg 2005;79:1167-73.
DOI: https://doi.org/10.1016/j.athoracsur.2004.08.069
Bardell T, Petsikas D. What keeps postpulmonary resection patients in hospital? Can Respir J 2003;10:86-9.
DOI: https://doi.org/10.1155/2003/610570
Irshad K, Feldman LS, Chu VF, et al. Causes of increased length of hospitalization on a general thoracic surgery service: a prospective observational study. Can J Surg 2002;45:264-8.
Lang-Lazdunski L, Coonar AS. A prospective study of autologous ‘blood patch’ pleurodesis for persistent air leak after pulmonary resection. Eur J Cardiothorac Surg 2004;26:897-900.
DOI: https://doi.org/10.1016/j.ejcts.2004.07.034
How to Cite
Amore, Dario, Umberto Caterino, Dino Casazza, Riccardo Ievoli, Pasquale Imitazione, Alessandro Saglia, Alessandro Izzo, Marco Rispoli, and Carlo Curcio. 2023. “Persistent Alveolar Air Leak Following Pulmonary Lobectomy: An Old Problem in a Modern Era”. Monaldi Archives for Chest Disease 93 (4). https://doi.org/10.4081/monaldi.2023.2474.
Copyright (c) 2023 The Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Gaukhar Kurmanova, Almas Zhanaev, Akzharkyn Kaldybek, Balkiya Abdrakhmanova, Almira Akparova, Impact of the COVID-19 pandemic on the clinical features of patients with chronic obstructive pulmonary disease: an observational cross-sectional study , Monaldi Archives for Chest Disease: Early Access
- Megha Hegde, Saurav Raj, Aishwarya S Pattanshetti, Sanatkumar Bharamu Nyamagoud, Gaining insights into chronic obstructive pulmonary disease exacerbation through emerging biomarkers and the chronic obstructive pulmonary disease assessment test score , Monaldi Archives for Chest Disease: Early Access
- Moncef Maiouak, Vanessa Garcia-Larsen, Soumaya Benmaamar, Ibtissam El Harch, Mohamed El Biaz, Chakib Nejjari, Mohammed Chakib Benjelloun, Karima El Rhazi, Factors influencing health-related quality of life in patients with chronic obstructive pulmonary disease: insights from the Burden of Obstructive Lung Disease Study in Fez, Morocco , Monaldi Archives for Chest Disease: Early Access
- Abhenil Mittal, Aarushi Gupta, Ekta Dhamija, Adarsh Barwad, Sameer Rastogi, Sustained complete response on crizotinib in primary lung inflammatory myofibroblastic tumor - Case report and literature review , Monaldi Archives for Chest Disease: Vol. 91 No. 3 (2021)
- Evangelos Balis, Sotiris Kakavas, Steven Kompogiorgas, Konstantinos Kotsifas, Georgios Boulbasakos, Presentation of pulmonary tuberculosis and actinomyces co-infection as a lung mass: a literature review and unique case report , Monaldi Archives for Chest Disease: Vol. 89 No. 3 (2019)
- Domenico Galzerano, Claudio Pragliola, Mohamed Al Admawi, Mario Mallardo, Sara Di Michele, Carlo Gaudio, The role of 3D echocardiographic imaging in the differential diagnosis of an atypical left atrial myxoma , Monaldi Archives for Chest Disease: Vol. 88 No. 3 (2018)
- Despoina Moumtzi, Marianna Kakoura, Pulmonary embolism in Behcet's disease: a case report , Monaldi Archives for Chest Disease: Vol. 90 No. 4 (2020)
- Carla Simonelli, Mara Paneroni, Aubin Georges Fokom, Manuela Saleri, Ilaria Speltoni, Irene Favero, Francesca Garofali, Simonetta Scalvini, Michele Vitacca, How the COVID-19 infection tsunami revolutionized the work of respiratory physiotherapists: an experience from Northern Italy , Monaldi Archives for Chest Disease: Vol. 90 No. 2 (2020)
- Vishal Chopra, Baljeet Singh Virk, Siddharth Chopra, Monika Bansal, Jain Chungath, Application of CBNAAT (Xpert MTB/RIF assay) in new smear negative pulmonary tuberculosis patients , Monaldi Archives for Chest Disease: Vol. 90 No. 1 (2020)
- Ana Hecimovic, Marko Jakopovic, Andrea Vukic Dugac, Feda Dzubur, Miroslav Samarzija, Metastatic cancer mimics interstitial lung disease. Cases when we need fast diagnosis and treatment , Monaldi Archives for Chest Disease: Vol. 89 No. 2 (2019)
<< < 31 32 33 34 35 36 37 38 39 40 > >>
You may also start an advanced similarity search for this article.
