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Risk factors for late-onset pulmonary fistula after pulmonary segmentectomy
Natsuko Kawatani1, Toshiki Yajima1,2, Kimihiro Shimizu3
1Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Japan.
Journal of Thoracic Disease
|April 17, 2023
Summary
Late-onset pulmonary fistula (LOPF) after segmentectomy is linked to specific surgical techniques. Identifying these risks, like cranial side free space (CSFS) and electrocautery, aids in preventing complications.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Surgical Complications
Background:
- Late-onset pulmonary fistula (LOPF) is a known complication following segmentectomy.
- Precise incidence and risk factors for LOPF remain unclear.
Purpose of the Study:
- Determine the incidence of LOPF after segmentectomy.
- Identify independent risk factors associated with LOPF development.
Main Methods:
- Retrospective analysis of 396 patients undergoing segmentectomy.
- Univariate and multivariate analyses to identify risk factors for LOPF requiring readmission.
Main Results:
- Overall morbidity rate was 19.4%.
- Incidence of LOPF was 4.5% (18/396).
- Segmentectomy with cranial side free space (CSFS) and electrocautery use were independent risk factors for LOPF.
Conclusions:
- Segmentectomy involving CSFS is an independent risk factor for LOPF.
- Prompt postoperative follow-up and treatment are crucial to prevent empyema.
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