2023 World Conference on Lung Cancer (Posters)-EP01.01. Risk Factors of Intraoperative Air Leakage in Anatomical Pulmonary Resection

EP01.01. Risk Factors of Intraoperative Air Leakage in Anatomical Pulmonary Resection - PDF(Abstract)

Pdf Summary

This study investigates the risk factors associated with intraoperative air leakage (IAL) in anatomical pulmonary resection. IAL is a common complication in thoracic surgery and can lead to postoperative air leakage (PAL) or prolonged postoperative air leakage (PPAL). Understanding the risk factors for IAL is important because PPAL can result in longer hospital stays. <br /><br />The study conducted a retrospective analysis of 194 patients who underwent anatomical pulmonary resection between January 2020 and December 2020. Factors such as age, gender, smoking history, and lung status were evaluated preoperatively, while the number of automated staplers used, the procedures of the operation, and the amount of blood loss were analyzed intraoperatively.<br /><br />The results showed that 48.4% of patients experienced IAL, with 12.9% experiencing PAL and 9.3% requiring pleurodesis due to PPAL. The group with IAL had a higher number of smokers as a preoperative factor. Among intraoperative factors, the use of automated staplers was significantly higher in the group with IAL. There were no significant differences in the procedures performed between the groups.<br /><br />When comparing subgroups with and without PPAL, there was no significant difference in the number of automated staplers used. However, PPAL was more common in lobectomy than in segmentectomy.<br /><br />In conclusion, the occurrence of IAL appears to be more dependent on the number of automated staplers used during pulmonary parenchymal resection rather than the specific procedures themselves. The findings suggest the need for further prospective multicenter studies to validate these results.

Asset Subtitle

Jotaro YUSA

Meta Tag

Speaker Jotaro YUSA

Topic Risk Factors, Risk Reduction & Tobacco Control

Keywords

intraoperative air leakage

anatomical pulmonary resection

risk factors

thoracic surgery

postoperative air leakage

prolonged postoperative air leakage

retrospective analysis

automated staplers

smoking history

lung status