초록접수 현황
| 19F-017 | 구연 발표 |
The short-term Outcomes in Patients with Secondary Spontaneous Pneumothorax who underwent a Fibrin Glue Application under Pleurography
Hyo Yeong Ahn, Yeong Dae Kim, Hoseok I, Jeong Su Cho
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Republic of Korea
Purpose : Prolonged air leakage might be difficult to be managed in patients with a secondary spontaneous pneumothorax (SSP) or in those who undergo thoracic surgery due to underlying diseases and severe adhesions. Especially, since the population of elderly has been increased, the incidence of SSP has been progressively developed in whom predicted to be got the perioperative morbidity caused by general anesthesia. Herein, we introduce a fibrin glue application under pleurography (FGAP) and short-term outcomes in patients who underwent this procedure.
Methods : FGAP was performed in 40 patients with an intractable persistent air leakage, who had poor lung function, co-morbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed.
Results : 36 cases sealed soon after dropping the glue. Two patients had a prolonged air leak for 12 and 14 days, and another two patient required an operation to control air leakage. The mean duration of post-procedural drainage was 3.17 ± 1.91 days (range: 3–20 days). No post-procedural complications were recorded. The mean duration of follow-up was 22.01 ± 7.34 months (range: 4–36months).
Conclusion : FGAP could be a treatment option to seal air leaks without general anesthesia, especially in cases with intractable air leakage in the elderly.
Methods : FGAP was performed in 40 patients with an intractable persistent air leakage, who had poor lung function, co-morbidities to undergo general anesthesia and were expected severe adhesions due to previous surgery. All medical records were retrospectively reviewed.
Results : 36 cases sealed soon after dropping the glue. Two patients had a prolonged air leak for 12 and 14 days, and another two patient required an operation to control air leakage. The mean duration of post-procedural drainage was 3.17 ± 1.91 days (range: 3–20 days). No post-procedural complications were recorded. The mean duration of follow-up was 22.01 ± 7.34 months (range: 4–36months).
Conclusion : FGAP could be a treatment option to seal air leaks without general anesthesia, especially in cases with intractable air leakage in the elderly.
책임저자: Yeong Dae Kim
Department of Thoracic and Cardiovascular Surgery, Pusan National University Hospital, Pusan National University College of Medicine, Busan, Republic of Korea
발표자: Hyo Yeong Ahn, E-mail : doctorahn02@hanmail.net