Aerostasis to limit air leak following extended pleurectomy-decortication.

Provoost, An-Lies; Bouckaert, Andreas; Vanluyten, Cedric; Barbarossa, Annalisa; Nackaerts, Kristiaan; Weynand, Birgit; Coolen, Johan; Bouneb, Sofian; Theisen-Lauk, Olivia; Opitz, Isabelle; Nafteux, Philippe; Ceulemans, Laurens J

Provoost, An-Lies; Bouckaert, Andreas; Vanluyten, Cedric; Barbarossa, Annalisa; Nackaerts, Kristiaan; Weynand, Birgit; Coolen, Johan; Bouneb, Sofian; Theisen-Lauk, Olivia; Opitz, Isabelle; Nafteux, Philippe; Ceulemans, Laurens J.

Afiliação

Provoost AL; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Bouckaert A; 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.
Barbarossa A; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Nackaerts K; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Weynand B; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Coolen J; Department of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
Bouneb S; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Theisen-Lauk O; Laboratory of Respiratory Diseases and Thoracic Surgery (BREATHE), Department of Chronic Diseases and Metabolism, KU Leuven, Leuven, Belgium.
Opitz I; Department of Pneumology, University Hospitals Leuven, Leuven, Belgium.
Nafteux P; Department of Pathology, University Hospitals Leuven, Leuven, Belgium.
Ceulemans LJ; Department of Imaging and Pathology, KU Leuven, Leuven, Belgium.

Eur J Cardiothorac Surg ; 65(5)2024 May 03.

Article em En | MEDLINE | ID: mdl-38696760

ABSTRACT

ABSTRACT

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.

Assuntos

Pleura; Neoplasias Pleurais; Humanos; Pleura/cirurgia; Neoplasias Pleurais/cirurgia; Mesotelioma/cirurgia; Mesotelioma Maligno/cirurgia; Complicações Pós-Operatórias/prevenção & controle; Neoplasias Pulmonares/cirurgia; Masculino; Pneumotórax/etiologia; Pneumotórax/cirurgia; Pneumotórax/prevenção & controle

Palavras-chave

Aerostasis; Extended pleurectomydecortication; Malignant pleural mesothelioma; Neopleura; Prolonged air leak; Visceral decortication

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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Pleura / Neoplasias Pleurais Limite: Humans / Male Idioma: En Revista: Eur J Cardiothorac Surg Ano de publicação: 2024 Tipo de documento: Article

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