Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy?
Purpose We studied fissure status and devices used to divide lung parenchyma during thoracoscopic pulmonary lobectomy (TPL). Methods 52 consecutive TPL indicated for congenital pulmonary airway malformation or interlobar pulmonary sequestration performed between 2009 and 2019 were reviewed prospecti...
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Veröffentlicht in: | Pediatric surgery international 2020, Vol.36 (1), p.57-61 |
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creator | Murakami, Hiroshi Koga, Hiroyuki Lane, Geoffrey Hirayama, Shunki Suzuki, Kenji Yamataka, Atsuyuki |
description | Purpose
We studied fissure status and devices used to divide lung parenchyma during thoracoscopic pulmonary lobectomy (TPL).
Methods
52 consecutive TPL indicated for congenital pulmonary airway malformation or interlobar pulmonary sequestration performed between 2009 and 2019 were reviewed prospectively to compare patients with absent fissure and no visible interlobar pulmonary artery (IPA) treated by stapling (group A;
n
= 10), incomplete fissure with partially visible IPA treated with an Enseal
®
or LigaSure™ device (group I;
n
= 17), and complete fissure with fully visible IPA treated by electrocautery (group C;
n
= 25).
Results
Patient demographics were similar. Mean age at TPL was 2.82 years (range 0.03–9.81). Mean duration of follow-up was 4.77 years (range 0.33–10.19). Operative time and duration of chest tube insertion were similar (
p
= NS). Intraoperative blood loss was significantly lower in group C compared with group I (
p
= 0.028). Complications were minor bronchial artery hemorrhage during anterior-to-posterior bronchial dissection (group A:
n
= 1; group I:
n
= 1), problematic single lung ventilation (group I:
n
= 1), and persistent postoperative air leak (group I:
n
= 1).
Conclusion
While fissure status does not appear to affect the outcome of TPL in children, the choice of device for dividing lung parenchyma relies specifically on fissure status. |
doi_str_mv | 10.1007/s00383-019-04577-z |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2298147639</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2298147639</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-ea2cfafda6f59e50c2733a9730c35aae11c880217c2e5b3ca23fc31b271f4a7f3</originalsourceid><addsrcrecordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwNlXx8mEUPmUKrHAbDmuDa2Sutjx0P56XFJAYmA6ne659-yHkFMKlxRAXAUALDEHWuUw5kLkmz0ypGMUeVVS3CdDoCKNkJcDchTCAgBKLKpDMkDKOS8LHJLprTMhs_MQojdZ6FQXQ6asNbrLuneTudhp16ZqU-u80i5ot5rrbBWb1i2VX2eNqxPt2vX1MTmwqgnmZFdH5PX-7mXymE-fH54mN9Nco-BdbhTTVtmZKiyvDAfNBKKqBIJGrpShVJclMCo0M7xGrRhajbRmgtqxEhZH5KLPXXn3EU3oZDsP2jSNWhoXg2QsCRiLAquEnv9BFy76ZXrdliqqCgrgiWI9pb0LwRsrV37eps9JCnLrWvauZXItv1zLTVo620XHujWzn5VvuQnAHghptHwz_vf2P7Gf0baLAw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2296990605</pqid></control><display><type>article</type><title>Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy?</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Murakami, Hiroshi ; Koga, Hiroyuki ; Lane, Geoffrey ; Hirayama, Shunki ; Suzuki, Kenji ; Yamataka, Atsuyuki</creator><creatorcontrib>Murakami, Hiroshi ; Koga, Hiroyuki ; Lane, Geoffrey ; Hirayama, Shunki ; Suzuki, Kenji ; Yamataka, Atsuyuki</creatorcontrib><description>Purpose
We studied fissure status and devices used to divide lung parenchyma during thoracoscopic pulmonary lobectomy (TPL).
Methods
52 consecutive TPL indicated for congenital pulmonary airway malformation or interlobar pulmonary sequestration performed between 2009 and 2019 were reviewed prospectively to compare patients with absent fissure and no visible interlobar pulmonary artery (IPA) treated by stapling (group A;
n
= 10), incomplete fissure with partially visible IPA treated with an Enseal
®
or LigaSure™ device (group I;
n
= 17), and complete fissure with fully visible IPA treated by electrocautery (group C;
n
= 25).
Results
Patient demographics were similar. Mean age at TPL was 2.82 years (range 0.03–9.81). Mean duration of follow-up was 4.77 years (range 0.33–10.19). Operative time and duration of chest tube insertion were similar (
p
= NS). Intraoperative blood loss was significantly lower in group C compared with group I (
p
= 0.028). Complications were minor bronchial artery hemorrhage during anterior-to-posterior bronchial dissection (group A:
n
= 1; group I:
n
= 1), problematic single lung ventilation (group I:
n
= 1), and persistent postoperative air leak (group I:
n
= 1).
Conclusion
While fissure status does not appear to affect the outcome of TPL in children, the choice of device for dividing lung parenchyma relies specifically on fissure status.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-019-04577-z</identifier><identifier>PMID: 31555863</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Blood Loss, Surgical ; Child ; Child, Preschool ; Dissection ; Electrocoagulation ; Female ; Hemostasis, Surgical - instrumentation ; Hospital costs ; Humans ; Infant ; Infant, Newborn ; Lung - pathology ; Lung - surgery ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Patients ; Pediatric Surgery ; Pediatrics ; Pneumonectomy - methods ; Postoperative Complications ; Prospective Studies ; Pulmonary arteries ; Surgery ; Surgical Stapling ; Thoracic surgery ; Thoracoscopy ; Veins & arteries ; Ventilators</subject><ispartof>Pediatric surgery international, 2020, Vol.36 (1), p.57-61</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Pediatric Surgery International is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-ea2cfafda6f59e50c2733a9730c35aae11c880217c2e5b3ca23fc31b271f4a7f3</citedby><cites>FETCH-LOGICAL-c375t-ea2cfafda6f59e50c2733a9730c35aae11c880217c2e5b3ca23fc31b271f4a7f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-019-04577-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-019-04577-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31555863$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Murakami, Hiroshi</creatorcontrib><creatorcontrib>Koga, Hiroyuki</creatorcontrib><creatorcontrib>Lane, Geoffrey</creatorcontrib><creatorcontrib>Hirayama, Shunki</creatorcontrib><creatorcontrib>Suzuki, Kenji</creatorcontrib><creatorcontrib>Yamataka, Atsuyuki</creatorcontrib><title>Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy?</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
We studied fissure status and devices used to divide lung parenchyma during thoracoscopic pulmonary lobectomy (TPL).
Methods
52 consecutive TPL indicated for congenital pulmonary airway malformation or interlobar pulmonary sequestration performed between 2009 and 2019 were reviewed prospectively to compare patients with absent fissure and no visible interlobar pulmonary artery (IPA) treated by stapling (group A;
n
= 10), incomplete fissure with partially visible IPA treated with an Enseal
®
or LigaSure™ device (group I;
n
= 17), and complete fissure with fully visible IPA treated by electrocautery (group C;
n
= 25).
Results
Patient demographics were similar. Mean age at TPL was 2.82 years (range 0.03–9.81). Mean duration of follow-up was 4.77 years (range 0.33–10.19). Operative time and duration of chest tube insertion were similar (
p
= NS). Intraoperative blood loss was significantly lower in group C compared with group I (
p
= 0.028). Complications were minor bronchial artery hemorrhage during anterior-to-posterior bronchial dissection (group A:
n
= 1; group I:
n
= 1), problematic single lung ventilation (group I:
n
= 1), and persistent postoperative air leak (group I:
n
= 1).
Conclusion
While fissure status does not appear to affect the outcome of TPL in children, the choice of device for dividing lung parenchyma relies specifically on fissure status.</description><subject>Blood Loss, Surgical</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dissection</subject><subject>Electrocoagulation</subject><subject>Female</subject><subject>Hemostasis, Surgical - instrumentation</subject><subject>Hospital costs</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Lung - pathology</subject><subject>Lung - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Patients</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pneumonectomy - methods</subject><subject>Postoperative Complications</subject><subject>Prospective Studies</subject><subject>Pulmonary arteries</subject><subject>Surgery</subject><subject>Surgical Stapling</subject><subject>Thoracic surgery</subject><subject>Thoracoscopy</subject><subject>Veins & arteries</subject><subject>Ventilators</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kD1PwzAQhi0EoqXwBxhQJBaWwNlXx8mEUPmUKrHAbDmuDa2Sutjx0P56XFJAYmA6ne659-yHkFMKlxRAXAUALDEHWuUw5kLkmz0ypGMUeVVS3CdDoCKNkJcDchTCAgBKLKpDMkDKOS8LHJLprTMhs_MQojdZ6FQXQ6asNbrLuneTudhp16ZqU-u80i5ot5rrbBWb1i2VX2eNqxPt2vX1MTmwqgnmZFdH5PX-7mXymE-fH54mN9Nco-BdbhTTVtmZKiyvDAfNBKKqBIJGrpShVJclMCo0M7xGrRhajbRmgtqxEhZH5KLPXXn3EU3oZDsP2jSNWhoXg2QsCRiLAquEnv9BFy76ZXrdliqqCgrgiWI9pb0LwRsrV37eps9JCnLrWvauZXItv1zLTVo620XHujWzn5VvuQnAHghptHwz_vf2P7Gf0baLAw</recordid><startdate>2020</startdate><enddate>2020</enddate><creator>Murakami, Hiroshi</creator><creator>Koga, Hiroyuki</creator><creator>Lane, Geoffrey</creator><creator>Hirayama, Shunki</creator><creator>Suzuki, Kenji</creator><creator>Yamataka, Atsuyuki</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2020</creationdate><title>Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy?</title><author>Murakami, Hiroshi ; Koga, Hiroyuki ; Lane, Geoffrey ; Hirayama, Shunki ; Suzuki, Kenji ; Yamataka, Atsuyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-ea2cfafda6f59e50c2733a9730c35aae11c880217c2e5b3ca23fc31b271f4a7f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Blood Loss, Surgical</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dissection</topic><topic>Electrocoagulation</topic><topic>Female</topic><topic>Hemostasis, Surgical - instrumentation</topic><topic>Hospital costs</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Lung - pathology</topic><topic>Lung - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Patients</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pneumonectomy - methods</topic><topic>Postoperative Complications</topic><topic>Prospective Studies</topic><topic>Pulmonary arteries</topic><topic>Surgery</topic><topic>Surgical Stapling</topic><topic>Thoracic surgery</topic><topic>Thoracoscopy</topic><topic>Veins & arteries</topic><topic>Ventilators</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Murakami, Hiroshi</creatorcontrib><creatorcontrib>Koga, Hiroyuki</creatorcontrib><creatorcontrib>Lane, Geoffrey</creatorcontrib><creatorcontrib>Hirayama, Shunki</creatorcontrib><creatorcontrib>Suzuki, Kenji</creatorcontrib><creatorcontrib>Yamataka, Atsuyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Murakami, Hiroshi</au><au>Koga, Hiroyuki</au><au>Lane, Geoffrey</au><au>Hirayama, Shunki</au><au>Suzuki, Kenji</au><au>Yamataka, Atsuyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy?</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2020</date><risdate>2020</risdate><volume>36</volume><issue>1</issue><spage>57</spage><epage>61</epage><pages>57-61</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
We studied fissure status and devices used to divide lung parenchyma during thoracoscopic pulmonary lobectomy (TPL).
Methods
52 consecutive TPL indicated for congenital pulmonary airway malformation or interlobar pulmonary sequestration performed between 2009 and 2019 were reviewed prospectively to compare patients with absent fissure and no visible interlobar pulmonary artery (IPA) treated by stapling (group A;
n
= 10), incomplete fissure with partially visible IPA treated with an Enseal
®
or LigaSure™ device (group I;
n
= 17), and complete fissure with fully visible IPA treated by electrocautery (group C;
n
= 25).
Results
Patient demographics were similar. Mean age at TPL was 2.82 years (range 0.03–9.81). Mean duration of follow-up was 4.77 years (range 0.33–10.19). Operative time and duration of chest tube insertion were similar (
p
= NS). Intraoperative blood loss was significantly lower in group C compared with group I (
p
= 0.028). Complications were minor bronchial artery hemorrhage during anterior-to-posterior bronchial dissection (group A:
n
= 1; group I:
n
= 1), problematic single lung ventilation (group I:
n
= 1), and persistent postoperative air leak (group I:
n
= 1).
Conclusion
While fissure status does not appear to affect the outcome of TPL in children, the choice of device for dividing lung parenchyma relies specifically on fissure status.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31555863</pmid><doi>10.1007/s00383-019-04577-z</doi><tpages>5</tpages></addata></record> |
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issn | 0179-0358 1437-9813 |
language | eng |
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source | MEDLINE; SpringerLink Journals |
subjects | Blood Loss, Surgical Child Child, Preschool Dissection Electrocoagulation Female Hemostasis, Surgical - instrumentation Hospital costs Humans Infant Infant, Newborn Lung - pathology Lung - surgery Male Medicine Medicine & Public Health Original Article Patients Pediatric Surgery Pediatrics Pneumonectomy - methods Postoperative Complications Prospective Studies Pulmonary arteries Surgery Surgical Stapling Thoracic surgery Thoracoscopy Veins & arteries Ventilators |
title | Does fissure status affect the outcome of thoracoscopic pulmonary lobectomy? |
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