Prediction of pulmonary air leak after lobectomies
The OBJECTIVE was to identify prognostic factors of long-term air leak after lobectomies based on the analysis of the main preoperative and surgical clinical and functional indicators.METHODS AND MATERIALS. A retrospective study included 71 patients who underwent lung resection in the volume of lobe...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2022-09-01
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| Series: | Вестник хирургии имени И.И. Грекова |
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| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1999 |
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| author | A. L. Akopov A. S. Agishev R. P. Mishra M. G. Kovalev E. V. Parshin S. Yu. Dvoreckiy Z. A. Zaripova Yu. D. Rabik R. D. Skvortsova A. A. Obukhova |
| author_facet | A. L. Akopov A. S. Agishev R. P. Mishra M. G. Kovalev E. V. Parshin S. Yu. Dvoreckiy Z. A. Zaripova Yu. D. Rabik R. D. Skvortsova A. A. Obukhova |
| author_sort | A. L. Akopov |
| collection | DOAJ |
| description | The OBJECTIVE was to identify prognostic factors of long-term air leak after lobectomies based on the analysis of the main preoperative and surgical clinical and functional indicators.METHODS AND MATERIALS. A retrospective study included 71 patients who underwent lung resection in the volume of lobectomy for lung cancer. The patients were divided into three groups - group 1 (n=42, 59 %) - air leak through the drains stopped within a day after surgery; group 2 (n=10, 14 %) - the duration of air leak from the pleural cavity from 1 to 5 days; group 3 (n=19, 27 %) the duration of air leak more than 5 days after surgery.RESULTS. The average values of the main clinical, surgical and functional indicators, such as the frequency of concomitant COPD, the severity of its course, smoking status, access (thoracotomy / thoracoscopy) in the three groups were almost the same. The difference in the average value of DLCO was characterized by the greatest tendency to reliability: the longer the pulmonary air leak was, the lower the values of this indicator turned out to be. Correlation analysis revealed a noticeable feedback between the long-term pulmonary air leak and the preoperative level of FEV1 (r=-0.59), a direct relationship between the level of FEV1 and DLCO (r=0.51), as well as a noticeable feedback between the long-term pulmonary air leak and the level of DLCO (r=-0.61) and a direct moderate relationship between the pulmonary air leak and the time spent on the stair climbing test (r=0.38).CONCLUSIONS. The combination of a low level of FEV1, a low level of DLCO and a long duration of the stair climbing test makes it possible to assess the risk of prolonged pulmonary air leak as significant and take this into account during the surgical intervention. |
| format | Article |
| id | doaj-art-a5b1a518683149748a11d2c0f2bb47d6 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2022-09-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-a5b1a518683149748a11d2c0f2bb47d62025-08-20T04:00:33ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252022-09-011811334010.24884/0042-4625-2022-181-1-33-401381Prediction of pulmonary air leak after lobectomiesA. L. Akopov0A. S. Agishev1R. P. Mishra2M. G. Kovalev3E. V. Parshin4S. Yu. Dvoreckiy5Z. A. Zaripova6Yu. D. Rabik7R. D. Skvortsova8A. A. Obukhova9Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe OBJECTIVE was to identify prognostic factors of long-term air leak after lobectomies based on the analysis of the main preoperative and surgical clinical and functional indicators.METHODS AND MATERIALS. A retrospective study included 71 patients who underwent lung resection in the volume of lobectomy for lung cancer. The patients were divided into three groups - group 1 (n=42, 59 %) - air leak through the drains stopped within a day after surgery; group 2 (n=10, 14 %) - the duration of air leak from the pleural cavity from 1 to 5 days; group 3 (n=19, 27 %) the duration of air leak more than 5 days after surgery.RESULTS. The average values of the main clinical, surgical and functional indicators, such as the frequency of concomitant COPD, the severity of its course, smoking status, access (thoracotomy / thoracoscopy) in the three groups were almost the same. The difference in the average value of DLCO was characterized by the greatest tendency to reliability: the longer the pulmonary air leak was, the lower the values of this indicator turned out to be. Correlation analysis revealed a noticeable feedback between the long-term pulmonary air leak and the preoperative level of FEV1 (r=-0.59), a direct relationship between the level of FEV1 and DLCO (r=0.51), as well as a noticeable feedback between the long-term pulmonary air leak and the level of DLCO (r=-0.61) and a direct moderate relationship between the pulmonary air leak and the time spent on the stair climbing test (r=0.38).CONCLUSIONS. The combination of a low level of FEV1, a low level of DLCO and a long duration of the stair climbing test makes it possible to assess the risk of prolonged pulmonary air leak as significant and take this into account during the surgical intervention.https://www.vestnik-grekova.ru/jour/article/view/1999air leaklobectomyrespiratory functionpreoperative prognosis |
| spellingShingle | A. L. Akopov A. S. Agishev R. P. Mishra M. G. Kovalev E. V. Parshin S. Yu. Dvoreckiy Z. A. Zaripova Yu. D. Rabik R. D. Skvortsova A. A. Obukhova Prediction of pulmonary air leak after lobectomies Вестник хирургии имени И.И. Грекова air leak lobectomy respiratory function preoperative prognosis |
| title | Prediction of pulmonary air leak after lobectomies |
| title_full | Prediction of pulmonary air leak after lobectomies |
| title_fullStr | Prediction of pulmonary air leak after lobectomies |
| title_full_unstemmed | Prediction of pulmonary air leak after lobectomies |
| title_short | Prediction of pulmonary air leak after lobectomies |
| title_sort | prediction of pulmonary air leak after lobectomies |
| topic | air leak lobectomy respiratory function preoperative prognosis |
| url | https://www.vestnik-grekova.ru/jour/article/view/1999 |
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