title: New technique to prevent prolonged air leak: use of 'Tachosuture' technique.
abstract: Prolonged air leak (defined as air leak >7 days), caused by pulmonary resection or alveolar-pleural fistula, increases postoperative morbidity, prolongs hospital stay and increases healthcare costs. We describe a new technique ('Tachosuture' technique) to prevent prolonged air leak. The key point of this new technique is that air leak is classified into three types and an absorbable suture is added to a TachoSil®patch in each type to prevent detachment from the lung parenchyma. Between August 2013 and March 2016, 40 patients underwent thoracoscopic surgery using 'Tachosuture' technique. Postoperative air leak always stopped within 3 days (95% confidence interval for the absence of prolonged air leak: 92.5-100%). It is considered that this simple technique is useful to prevent prolonged air leak.
authors.affiliation: Department of Thoracic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi, Higashiosaka, Osaka, 579-8026, Japan. t-nishida@ishikiriseiki.or.jp.
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Nishida
authors.affiliation: Department of Thoracic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi, Higashiosaka, Osaka, 579-8026, Japan.
authors.forename: Iwao
authors.initials: I
authors.lastname: Mikami
authors.affiliation: Department of Thoracic Surgery, Ishikiriseiki Hospital, 18-28, Yayoi, Higashiosaka, Osaka, 579-8026, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Fujii
mesh_terms: D000368:Aged; D004338:Drug Combinations; D005260:Female; D005340:Fibrinogen; D005402:Fistula / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008168:Lung / Q000601:surgery*; D008297:Male; D010995:Pleural Diseases / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*; D013917:Thrombin
chemical_list: D004338:Drug Combinations; C518955:TachoSil; D005340:Fibrinogen; D013917:Thrombin
keywords: Fistula; Prolonged air leak; Pulmonary resection