Cauterization versus fibrin glue for aerostasis in precision resections for secondary lung tumors

Pier Paolo Brega Massone, Barbara Magnani, Barbara Conti, Cosimo Lequaglie, Ignazio Cataldo

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Background: Aerostasis control in multiple resections for metastatic pulmonary diseases is a real problem. Long-term air leaks prolong postoperative hospitalization and result in an additional financial burden on the healthcare system. We focused our study on the evaluation of fibrin glue (Tissucol) as an effective means to minimize or prevent air leaks. Methods: We initiated a case-control study whereby 100 patients underwent precision resections for lung metastases. The subjects were divided into 2 groups, both with 50 patients: group 1 was treated with fibrin glue and group 2 with cauterization. Evaluation parameters consisted of the following: air leak duration, expected complications, drain time, and in-hospital stay. Results: In group 1, air-leak time was 2.68 ± 1.72 days, versus 7.80 ± 8.52 for group 2 (P <.001). In group 1, there were 2% complications, whereas in group 2 there were 28% (P <.001). Drain time was 4.54 ± 1.83 days for group 1 and 9.54 ± 8.35 for group 2 (P <.001). In-hospital stay was 6.54 ± 1.83 days for group 1 and 11.54 ± 8.35 for group 2 (P <.001). Conclusions: In the group treated with fibrin glue, we observed significant advantages. Our experience shows that the use of fibrin glue can improve aerostasis control in nonanatomical resections with high risk of air leak.

Original languageEnglish
Pages (from-to)441-446
Number of pages6
JournalAnnals of Surgical Oncology
Volume10
Issue number4
DOIs
Publication statusPublished - 2003

Fingerprint

Cautery
Fibrin Tissue Adhesive
Air
Lung
Neoplasms
Length of Stay
Lung Diseases
Case-Control Studies
Hospitalization
Neoplasm Metastasis
Delivery of Health Care

Keywords

  • Aerostasis
  • Air leak
  • Cauterization
  • Fibrin glue
  • Lung metastasis
  • Precision resection

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Cauterization versus fibrin glue for aerostasis in precision resections for secondary lung tumors. / Brega Massone, Pier Paolo; Magnani, Barbara; Conti, Barbara; Lequaglie, Cosimo; Cataldo, Ignazio.

In: Annals of Surgical Oncology, Vol. 10, No. 4, 2003, p. 441-446.

Research output: Contribution to journalArticle

Brega Massone, Pier Paolo ; Magnani, Barbara ; Conti, Barbara ; Lequaglie, Cosimo ; Cataldo, Ignazio. / Cauterization versus fibrin glue for aerostasis in precision resections for secondary lung tumors. In: Annals of Surgical Oncology. 2003 ; Vol. 10, No. 4. pp. 441-446.
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N2 - Background: Aerostasis control in multiple resections for metastatic pulmonary diseases is a real problem. Long-term air leaks prolong postoperative hospitalization and result in an additional financial burden on the healthcare system. We focused our study on the evaluation of fibrin glue (Tissucol) as an effective means to minimize or prevent air leaks. Methods: We initiated a case-control study whereby 100 patients underwent precision resections for lung metastases. The subjects were divided into 2 groups, both with 50 patients: group 1 was treated with fibrin glue and group 2 with cauterization. Evaluation parameters consisted of the following: air leak duration, expected complications, drain time, and in-hospital stay. Results: In group 1, air-leak time was 2.68 ± 1.72 days, versus 7.80 ± 8.52 for group 2 (P <.001). In group 1, there were 2% complications, whereas in group 2 there were 28% (P <.001). Drain time was 4.54 ± 1.83 days for group 1 and 9.54 ± 8.35 for group 2 (P <.001). In-hospital stay was 6.54 ± 1.83 days for group 1 and 11.54 ± 8.35 for group 2 (P <.001). Conclusions: In the group treated with fibrin glue, we observed significant advantages. Our experience shows that the use of fibrin glue can improve aerostasis control in nonanatomical resections with high risk of air leak.

AB - Background: Aerostasis control in multiple resections for metastatic pulmonary diseases is a real problem. Long-term air leaks prolong postoperative hospitalization and result in an additional financial burden on the healthcare system. We focused our study on the evaluation of fibrin glue (Tissucol) as an effective means to minimize or prevent air leaks. Methods: We initiated a case-control study whereby 100 patients underwent precision resections for lung metastases. The subjects were divided into 2 groups, both with 50 patients: group 1 was treated with fibrin glue and group 2 with cauterization. Evaluation parameters consisted of the following: air leak duration, expected complications, drain time, and in-hospital stay. Results: In group 1, air-leak time was 2.68 ± 1.72 days, versus 7.80 ± 8.52 for group 2 (P <.001). In group 1, there were 2% complications, whereas in group 2 there were 28% (P <.001). Drain time was 4.54 ± 1.83 days for group 1 and 9.54 ± 8.35 for group 2 (P <.001). In-hospital stay was 6.54 ± 1.83 days for group 1 and 11.54 ± 8.35 for group 2 (P <.001). Conclusions: In the group treated with fibrin glue, we observed significant advantages. Our experience shows that the use of fibrin glue can improve aerostasis control in nonanatomical resections with high risk of air leak.

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