Efficacy of a Pedicled Pericardial Fat Pad Fixed with Fibrin Glue on Postoperative Alveolar Air Leakage |
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Authors: | Masahiro Yoshimura Noriaki Tsubota Hidehito Matsuoka Toshihiko Sakamoto |
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Institution: | (1) Department of Thoracic Surgery, Hyogo Medical Center for Adults, 13-70 Kitaohji-cho, Akashi 673-8558, Japan, JP |
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Abstract: | The purpose of this randomized trail was to investigate the effect of using a pedicled pericardial fat pad fixed with fibrin
glue on postoperative alveolar air leakage. Thirty consecutive patients with lung cancer, who had moderate alveolar air leaks
after pulmonary resection, were randomized into two groups: in group A fibrin glue was applied onto the surface of the leaking
raw lung and in group B, after applying fibrin glue in the same manner as in group A, a pedicled pericardial fat pad was immediately
fixed to the leaking lung surface with fibrin glue. The duration of the postoperative air leakage and chest tube drainage
was recorded. In 6 of 15 patients in group B the air leakage ceased within the first 24 h after pulmonary resection, while
in group A only 1 of 15 patients showed a cessation of the air leakage, and a significant difference was noticed between the
two groups (P = 0.0309). The duration of the postoperative air leakage was 4.8 ± 4.6 days in group A and 3.6 ± 3.4 days in group B. The
pedicled pericardial fat pad fixed onto the surface of the leaking raw lung using fibrin glue was found to reduce alveolar
air leakage after pulmonary resection.
Received: January 11, 2001 / Accepted: September 11, 2001 |
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Keywords: | Air leak Pericardial fat pad Fibrin glue Postoperative complication Lung surgery |
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