Sutureless pneumostasis using bioabsorbable mesh and glue during major lung resection for cancer: Who are the best candidates? Kazuhiro Ueda, MD, Toshiki.

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Sutureless pneumostasis using bioabsorbable mesh and glue during major lung resection for cancer: Who are the best candidates? Kazuhiro Ueda, MD, Toshiki Tanaka, MD, Tao-Sheng Li, MD, Nobuyuki Tanaka, MD, Kimikazu Hamano, MD The Journal of Thoracic and Cardiovascular Surgery Volume 139, Issue 3, Pages 600-605 (March 2010) DOI: 10.1016/j.jtcvs.2009.06.021 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Percentage of patients with chest tubes on postoperative days 0 to 14 in the glue-alone (G) group (solid line, n = 61) and the mesh-and-glue (MG) group (dashed line, n = 61). Two patients in the G group required postoperative intervention for pulmonary complications before the air leak stopped (marked). The duration of chest tube drainage was significantly shorter in the MG group (mean of 1.1 ± 0.4 days and median of 1 day) than in the G group (mean of 3.0 ± 2.8 days and median of 2 days, P < .001). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 600-605DOI: (10.1016/j.jtcvs.2009.06.021) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Percentage of patients with chest tubes in place on postoperative days 0 to 14 in the glue-alone (G) group (solid lines) and the mesh-and-glue (MG) group (dashed lines). The patients were divided into 6 subgroups based on the resection site (upper or lower lobe) and their emphysema index (<1%, 1%–10%, and >10%): A, patients with an emphysema index of less than 1% who underwent lower lobe resection; B, patients with an emphysema index of 1% to 10% who underwent lower lobe resection; C, patients with an emphysema index of greater than 10% who underwent lower lobe resection; D, patients with an emphysema index of less than 1% who underwent upper lobe resection; E, patients with an emphysema index of 1% to 10% who underwent upper lobe resection; and F, patients with an emphysema index of greater than 10% who underwent upper lobe resection. The duration of chest tube drainage was shorter in the MG group than in the G group in patients with any emphysema index who underwent upper lobe resection and in patients with an emphysema index of greater than 10% who underwent resection of another part of the lung. The Journal of Thoracic and Cardiovascular Surgery 2010 139, 600-605DOI: (10.1016/j.jtcvs.2009.06.021) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions