Predictors of failure of intersegmental line creation using bronchoscopic jet ventilation for thoracoscopic pulmonary segmentectomy
| Autor: | Makoto Sumie, Tomoka Matsuoka, Ayumi Fujimoto, Ken Yamaura, Miwako Tanabe, Mizuko Ikeda |
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| Rok vydání: | 2021 |
| Předmět: |
Jet ventilation
medicine.medical_specialty Basal segmental bronchus Brinkman index Pulmonary segmentectomy 030204 cardiovascular system & hematology Single Center Thoracoscopic surgery 03 medical and health sciences 0302 clinical medicine Anesthesiology Medicine RD78.3-87.3 Broncoscopy Clinical Research Article Bronchus RC86-88.9 business.industry Medical emergencies. Critical care. Intensive care. First aid Surgery Anesthesiology and Pain Medicine medicine.anatomical_structure 030228 respiratory system business |
| Zdroj: | JA Clinical Reports JA Clinical Reports, Vol 7, Iss 1, Pp 1-9 (2021) |
| ISSN: | 2363-9024 |
| Popis: | Background During pulmonary segmentectomy, identification of the target segment is essential. We used bronchoscopic jet ventilation (BJV) to delineate the intersegmental plane by selectively sending air into the target segment. The purpose of this study was to investigate the factors associated with BJV failure. Methods Data were retrospectively collected from 48 patients who underwent pulmonary segmentectomy with BJV between March 2014 and May 2019 at a single center. Data were compared between BJV succeeded cases and failed cases. Results In 13 cases (27%), BJV were unsuccessful. The Brinkman index was significantly higher in failed cases (962 ± 965 failed vs. 395 ± 415 successful, P = 0.0067). The success rate was significantly lower when BJV was applied to the posterior basal segmental bronchus (B10) (B10: 1/5 (20%) vs others: 34/43 (79%), P = 0.015). Conclusion Long-term smoking and the bronchus corresponding to the posterior basal segment might make successful performance of BJV difficult. |
| Databáze: | OpenAIRE |
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