Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer

Background and objective Traditional lobectomy techniques often lead to persistent air leak (PAL) for lung cancer patients companied with fused fissure. The aim of this study is to evaluate the outcomes of those patients undergoing fissureless lobectomy. Methods The clinical data were retro-respecti...

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Main Authors: Tong QIU, Yi SHEN, Dong WANG, Zizong WANG, Yucheng WEI
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2013-03-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://dx.doi.org/10.3779/j.issn.1009-3419.2013.03.06
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author Tong QIU
Yi SHEN
Dong WANG
Zizong WANG
Yucheng WEI
author_facet Tong QIU
Yi SHEN
Dong WANG
Zizong WANG
Yucheng WEI
author_sort Tong QIU
collection DOAJ
description Background and objective Traditional lobectomy techniques often lead to persistent air leak (PAL) for lung cancer patients companied with fused fissure. The aim of this study is to evaluate the outcomes of those patients undergoing fissureless lobectomy. Methods The clinical data were retro-respectively analyzed from 274 lung cancer patients with fused fissure who received surgical procedures from August 2011 to December 2012. Patients were divided into fissureless group (group A, n=121) and traditional group (group B, n=153) according to the type of lobectomy techniques. The data were analyzed using SPSS 17.0. The air leak cessation was determined using the Kaplan-Meier method. Multiple risk analysis was developed by Logistic regression. Results The incidences of PAL in 2 groups were 1.7% and 9.2%, respectively (P=0.009). The air leak cessation in group A was significantly lower than that in group B (P<0.001). There was no statistical different between 2 groups in the duration of drainage, amount of fluid and length of hospital stay. Conclusion The fissureless lobectomy to fused fissure decreases the incidence of persistent air leak and duration of air leak. This technique should be considered effective to fused fissure lobectomy.
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spelling doaj.art-fd5038a15eba422988dbc427e60fc2912022-12-21T19:30:39ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872013-03-0116314815210.3779/j.issn.1009-3419.2013.03.06Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung CancerTong QIUYi SHENDong WANGZizong WANGYucheng WEIBackground and objective Traditional lobectomy techniques often lead to persistent air leak (PAL) for lung cancer patients companied with fused fissure. The aim of this study is to evaluate the outcomes of those patients undergoing fissureless lobectomy. Methods The clinical data were retro-respectively analyzed from 274 lung cancer patients with fused fissure who received surgical procedures from August 2011 to December 2012. Patients were divided into fissureless group (group A, n=121) and traditional group (group B, n=153) according to the type of lobectomy techniques. The data were analyzed using SPSS 17.0. The air leak cessation was determined using the Kaplan-Meier method. Multiple risk analysis was developed by Logistic regression. Results The incidences of PAL in 2 groups were 1.7% and 9.2%, respectively (P=0.009). The air leak cessation in group A was significantly lower than that in group B (P<0.001). There was no statistical different between 2 groups in the duration of drainage, amount of fluid and length of hospital stay. Conclusion The fissureless lobectomy to fused fissure decreases the incidence of persistent air leak and duration of air leak. This technique should be considered effective to fused fissure lobectomy.http://dx.doi.org/10.3779/j.issn.1009-3419.2013.03.06Lung neoplasmsFissureless lobectomyPersistent air leaksThoracic close drainageFused fissure
spellingShingle Tong QIU
Yi SHEN
Dong WANG
Zizong WANG
Yucheng WEI
Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
Chinese Journal of Lung Cancer
Lung neoplasms
Fissureless lobectomy
Persistent air leaks
Thoracic close drainage
Fused fissure
title Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
title_full Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
title_fullStr Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
title_full_unstemmed Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
title_short Clinical Outcomes of Fissureless Technique to Practice Lobectomy 
with Fused Fissure for Lung Cancer
title_sort clinical outcomes of fissureless technique to practice lobectomy 
with fused fissure for lung cancer
topic Lung neoplasms
Fissureless lobectomy
Persistent air leaks
Thoracic close drainage
Fused fissure
url http://dx.doi.org/10.3779/j.issn.1009-3419.2013.03.06
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