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Interlobar fixation using TachoSil(®): a novel technique.

Alfonso Fiorelli1, Roberto Scaramuzzi1, Saveria Costanzo1

  • 1Thoracic Surgery Unit, Second University of Naples, Naples, Italy.

Translational Lung Cancer Research
|December 3, 2015
PubMed
Summary
This summary is machine-generated.

TachoSil(®) effectively anchors the middle lobe to the lower lobe after upper right lobectomy, offering a safe and quick alternative to traditional suturing methods.

Keywords:
TachoSil®Torsionfixationlobectomymiddle lobe

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Area of Science:

  • Thoracic Surgery
  • Surgical Innovation
  • Wound Healing

Background:

  • Upper right lobectomy requires middle lobe to lower lobe fixation in a significant patient subset.
  • Evaluating TachoSil(®) as an alternative to sutures/staplers for this fixation is crucial for surgical practice.

Purpose of the Study:

  • To assess the efficacy and safety of TachoSil(®) for middle lobe to lower lobe fixation post-upper right lobectomy.
  • To compare TachoSil(®) with standard suturing/stapling techniques in terms of operative outcomes.

Main Methods:

  • A comparative study involving 39 patients undergoing upper right lobectomy requiring lobe fixation.
  • Patients were divided into a standard group (suturing/stapler) and a TachoSil(®) group (TachoSil(®) alone).

Main Results:

  • Operative time, complications, drain duration, and hospital stay were comparable between groups.
  • The TachoSil(®) group showed a trend towards lower incidence of atelectasis and air leaks compared to the standard group, though not statistically significant.

Conclusions:

  • TachoSil(®) provides a safe, easy, and quick method for lobe fixation.
  • The fibrin network formed by TachoSil(®) facilitates secure adhesion without impeding lung re-expansion or causing parenchymal injury.