Ana Sayfa | Dergi Hakkında | Yayın Kurulu | Bilimsel Danışma Kurulu | İçindekiler | Arşiv | Yayın Arama | Yazarlara Bilgi | İletişim  
2019, Cilt 33, Sayı 3, Sayfa(lar) 135-144   
EFFECTIVENESS OF PNEUMOPERITONEUM IN CHEST SURGERY
Şener YILDIRIM, Soner GÜRSOY
Sağlık Bilimleri Üniversitesi İzmir Dr. Suat Seren Göğüs Hastalıkları ve Cerrahisi Sağlık Uygulama ve Araştırma Merkezi, Göğüs Cerrahisi, İzmir, Türkiye
Keywords: Pneumoperitoneum, prolonged air leak, thoracic surgery, pleural space

Aim: Prolonged air leak is one of the most common and significant complications in the daily practice of thoracic surgery. In this study we aimed to evaluate the efficacy of pneumoperitoneum applied for the prevention of prolonged air leak in reducing the duration of drainage and hospitalization.

Materials-Methods: Hospital records of 66 patients operated between August 2009 and June 2011 and developed prolonged air leak were reviewed retrospectively. 36 patients treated with pneumoperitoneum for study group and 30 for the control group were selected. Age, gender, comorbidity, chemo-radiotherapy, smoking habits, operation, operation side, presence of postoperative residual pleural space and additional treatments were recorded. Mean duration of drainage and hospital stay were compared between two groups.

Results: In study group, patients who underwent upper lobectomy were found to have increased drainage duration (p=0.049). Residual pleural space was present at 32 (%88.9) patients in study group and 17 (%56.7) in control group. The difference was statistically significant (p=0.003). There was no statistically significant difference between the hospital stay of two groups (p=0.382). Mean drainage duration of study group was shorter, yet difference between two groups was not statistically significant (p=0.058).

Nevertheless it was found out that pneumoperitoneum caused a statistically significant decrease at the drainage duration in patients younger than 50 years (p=0.027), patients who did not smoke (p=0.037) and patients who underwent an operation other than upper lobectomy (p=0.014).

Conclusions: Pneumoperitoneum is a cheap, easy, fast and safe method and should be kept in mind for the management of prolonged air leaks and residual pleural spaces.