Aerostasis to limit air leak following extended pleurectomy-decortication.

Autor:	Provoost AL; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium., Bouckaert A; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium., Vanluyten C; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium., Barbarossa A; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium., Nackaerts K; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.; Department of Pneumology, University Hospitals Leuven, Leuven, Belgium., Weynand B; Department of Pathology, University Hospitals Leuven, Leuven, Belgium.; Department of Imaging and Pathology, KU Leuven, Leuven, Belgium., Coolen J; Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.; Department of Radiology, University Hospitals Leuven, Leuven, Belgium., Bouneb S; Department of Anaesthesiology, University Hospitals Leuven, Leuven, Belgium., Theisen-Lauk O; Department of Thoracic Surgery, University Hospitals Zürich, Zürich, Switzerland., Opitz I; Department of Thoracic Surgery, University Hospitals Zürich, Zürich, Switzerland., Nafteux P; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium., Ceulemans LJ; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Jazyk:	angličtina
Zdroj:	European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery [Eur J Cardiothorac Surg] 2024 May 03; Vol. 65 (5).
DOI:	10.1093/ejcts/ezae181
Abstrakt:	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. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.)
Databáze:	MEDLINE
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