Postoperative changes of the free pericardial fat pad for bronchial stump coverage
| Autor: | Daiji Nemoto, Tetsukan Woo, Haruhiko Nakayama, Hiroyuki Ito, Daisuke Eriguchi, Munetaka Masuda, Takuya Nagashima, Joji Samejima |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Surgical approach business.industry Bronchial stump Bronchopleural fistula 030204 cardiovascular system & hematology medicine.disease Bronchial Fistula Surgery Resection 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Pericardial fat medicine Original Article Complication Residual volume business |
| Zdroj: | Journal of Thoracic Disease. 11:5228-5236 |
| ISSN: | 2077-6624 2072-1439 |
| Popis: | BACKGROUND: Bronchopleural fistula (BPF) remains a serious complication after surgery for lung cancer with bronchial resection. A free pericardial fat pad (FPFP) is applied in high-risk cases to reduce BPF frequency. BPF may occur 6 months after surgery. Thus, we evaluated the residual FPFP volume at 6 months after surgery to estimate the residual FPFP ratio and determine the amount of FPFP to be harvested during surgery. METHODS: We retrospectively investigated 40 patients who underwent lobectomy with bronchial stump coverage using FPFP. During surgery, the volume of the harvested FPFP was measured and the FPFP was affixed to the bronchial stump. Further, 6 months after surgery, the residual volume of the installed FPFP was analyzed using a three-dimensional volume analyzer and the residual ratio was calculated. We also evaluated clinicopathological factors influencing the resected FPFP and residual ratio. RESULTS: The median resected FPFP volume was 11 [3–40] mL. During multivariate analysis, body mass index and surgical approach were found to be significant factors associated with the resected FPFP volume. The median residual FPFP volume was 4.3 (0.4–15.5) mL. The median residual ratio was 0.39 (0.13–0.66). The resected FPFP volume was significantly associated with the residual volume (P |
| Databáze: | OpenAIRE |
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