Impiego clinico di suturatrici rivestite con pericardio bovino nella prevenzione delle perdite aeree postoperatorie in pazienti "fragili" sottoposti a resezione polmonare

Translated title of the contribution: Clinical effect of bovine pericardial strips on air leak after stapled pulmonary resection in "frail" patients: Early results

F. Lococo, A. Cesario, S. Margaritora, D. Nachira, A. Cesario, G. Leuzzi, V. Porziella, E. Meacci, L. M. Vita, T. M. Congedo, P. Granone

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Aim: Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postoperative leakage and hospital stay) in "critical" patients (COPD, emphysema etc.) who underwent pulmonary resection. Methods: From October 2010 to February 2011, eight patients (experimental group, Group A) were preoperative selected and underwent pulmonary resection with bovine pericardium strips (Peri-Strips Dry; Synovis). The inclusion criteria of a "frail patient" were established by a dedicate pneumologist according with clinical and functional data (predicted postoperative FEV, ranging from 35% and 80% of the theorical predicted value). For comparison, from January 2010 to September 2010, we retrospectively reviewed the data of 28 patients who satisfied the same inclusion criteria and underwent pulmonary resection with standard surgical procedures. This group of patients represents our control group (Group B). Results: There were no significant differences between the two groups in age, gender, preoperative risk factors for developing a postoperative air leak, preop FEV1 and type of resection. No technical deficiencies in the use of bovine pericardium strips were observed in Group A. Postoperative leakage was significant different in the two groups being persistent air leak detected in 0% in Group A versus 17.8% of Group B (P=0.046). Consequently, chest tube duration (6.75±0.84 days [Group A] vs. 9.70+1.26 days (Group B), P=0.019) and hospital stay (10.13±0.83 days [Group A] vs. 12.95±1.37 days [Group B], P=0.013) were lower in the experimental group. Conclusion: Bovine pericardium strips are safe and easy-to-do technique to reduce postoperative air leaks after pulmonary resection in "critical" patients.

Original languageItalian
Pages (from-to)87-94
Number of pages8
JournalMinerva Chirurgica
Volume67
Issue number1
Publication statusPublished - Feb 2012

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Pericardium
Air
Lung
Length of Stay
Chest Tubes
Emphysema
Chronic Obstructive Pulmonary Disease
Age Groups
Control Groups

ASJC Scopus subject areas

  • Surgery

Cite this

Impiego clinico di suturatrici rivestite con pericardio bovino nella prevenzione delle perdite aeree postoperatorie in pazienti "fragili" sottoposti a resezione polmonare. / Lococo, F.; Cesario, A.; Margaritora, S.; Nachira, D.; Cesario, A.; Leuzzi, G.; Porziella, V.; Meacci, E.; Vita, L. M.; Congedo, T. M.; Granone, P.

In: Minerva Chirurgica, Vol. 67, No. 1, 02.2012, p. 87-94.

Research output: Contribution to journalArticle

Lococo, F. ; Cesario, A. ; Margaritora, S. ; Nachira, D. ; Cesario, A. ; Leuzzi, G. ; Porziella, V. ; Meacci, E. ; Vita, L. M. ; Congedo, T. M. ; Granone, P. / Impiego clinico di suturatrici rivestite con pericardio bovino nella prevenzione delle perdite aeree postoperatorie in pazienti "fragili" sottoposti a resezione polmonare. In: Minerva Chirurgica. 2012 ; Vol. 67, No. 1. pp. 87-94.
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abstract = "Aim: Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postoperative leakage and hospital stay) in {"}critical{"} patients (COPD, emphysema etc.) who underwent pulmonary resection. Methods: From October 2010 to February 2011, eight patients (experimental group, Group A) were preoperative selected and underwent pulmonary resection with bovine pericardium strips (Peri-Strips Dry; Synovis). The inclusion criteria of a {"}frail patient{"} were established by a dedicate pneumologist according with clinical and functional data (predicted postoperative FEV, ranging from 35{\%} and 80{\%} of the theorical predicted value). For comparison, from January 2010 to September 2010, we retrospectively reviewed the data of 28 patients who satisfied the same inclusion criteria and underwent pulmonary resection with standard surgical procedures. This group of patients represents our control group (Group B). Results: There were no significant differences between the two groups in age, gender, preoperative risk factors for developing a postoperative air leak, preop FEV1 and type of resection. No technical deficiencies in the use of bovine pericardium strips were observed in Group A. Postoperative leakage was significant different in the two groups being persistent air leak detected in 0{\%} in Group A versus 17.8{\%} of Group B (P=0.046). Consequently, chest tube duration (6.75±0.84 days [Group A] vs. 9.70+1.26 days (Group B), P=0.019) and hospital stay (10.13±0.83 days [Group A] vs. 12.95±1.37 days [Group B], P=0.013) were lower in the experimental group. Conclusion: Bovine pericardium strips are safe and easy-to-do technique to reduce postoperative air leaks after pulmonary resection in {"}critical{"} patients.",
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AU - Lococo, F.

AU - Cesario, A.

AU - Margaritora, S.

AU - Nachira, D.

AU - Cesario, A.

AU - Leuzzi, G.

AU - Porziella, V.

AU - Meacci, E.

AU - Vita, L. M.

AU - Congedo, T. M.

AU - Granone, P.

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AB - Aim: Postoperative air leaks and in particular persistent air leaks (>5 days) after pulmonary resection still represent a common complication and the first cause of hospital stay delay. Aim of this experimental trial was to investigate the efficacy of the use of bovine pericardium strips (in terms of reduction of postoperative leakage and hospital stay) in "critical" patients (COPD, emphysema etc.) who underwent pulmonary resection. Methods: From October 2010 to February 2011, eight patients (experimental group, Group A) were preoperative selected and underwent pulmonary resection with bovine pericardium strips (Peri-Strips Dry; Synovis). The inclusion criteria of a "frail patient" were established by a dedicate pneumologist according with clinical and functional data (predicted postoperative FEV, ranging from 35% and 80% of the theorical predicted value). For comparison, from January 2010 to September 2010, we retrospectively reviewed the data of 28 patients who satisfied the same inclusion criteria and underwent pulmonary resection with standard surgical procedures. This group of patients represents our control group (Group B). Results: There were no significant differences between the two groups in age, gender, preoperative risk factors for developing a postoperative air leak, preop FEV1 and type of resection. No technical deficiencies in the use of bovine pericardium strips were observed in Group A. Postoperative leakage was significant different in the two groups being persistent air leak detected in 0% in Group A versus 17.8% of Group B (P=0.046). Consequently, chest tube duration (6.75±0.84 days [Group A] vs. 9.70+1.26 days (Group B), P=0.019) and hospital stay (10.13±0.83 days [Group A] vs. 12.95±1.37 days [Group B], P=0.013) were lower in the experimental group. Conclusion: Bovine pericardium strips are safe and easy-to-do technique to reduce postoperative air leaks after pulmonary resection in "critical" patients.

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