Prevention of Postoperative Prolonged Air Leak After Pulmonary Resection

Abstract

Postoperative prolonged air leaks (PALs) occur after thoracic surgery in which lung parenchyma is resected, divided, or manipulated. These air leaks can place patients at risk for intensive care unit readmissions, longer hospital length of stay, and infectious complications. Studies have been conducted to identify patients who are at risk for air leak and several methods have been examined for the prevention and treatment of PALs. A standard method of air leak prevention or treatment has not been established. This article discusses the prophylactic measures that have been studied for the prevention of PALs following lung surgery.

Keywords: Pleural patch; Pleural sealant; Pleural tent; Postoperative air leak; Prophylactic pneumoperitoneum; Pulmonary resection.