Article information
Resumen
En este trabajo se revisan la incidencia, las causas, el diagnóstico, la prevención y el tratamiento de las siguientes complicaciones quirúrgicas que pueden ocurrir tras procedimientos de resección pulmonar: fuga aérea prolongada, enfisema subcutáneo, cámaras pleurales residuales, dehiscencia precoz del muñón bronquial, hemorragia, empiema pleural, fístula broncopleural, fístula esófago-pleural, quilotórax, hernia cardíaca, torsión lobular, síndrome posneumonectomía, lesiones nerviosas y embolización tumoral.
Palabras clave:
Complicaciones quirúrgicas
Empiema pleural
Fístula broncopleural
Fuga aérea prolongada
Hernia cardíaca
Quilotórax
Resección pulmonar
Síndrome posneumonectomía
Torsión lobular
Abstract
We review incidence, etiology, diagnosis, prevention and treatment of the following complications of pulmonary resection: prolonged air leak, subcutaneous emphysema, residual pleural spaces, early bronchial stump dehiscence, bleeding, pleural empyema, bronchopleural fistula, esophagopleural fistula, chylothorax, cardiac herniation, pulmonary torsion, postpneumonectomy syndrome, nerve injuries and tumor embolism.
Keywords:
Surgical complications
Pleural empyema
Bronchopleural fistula
Prolonged air leak
Cardiac herniation
Chylothorax
Pulmonary resection
Postpneumonectomy syndrome
Pulmonary torsion
Full text is only aviable in PDF
Bibliografía
[1.]
B. Haitcock, R. Feins.
Complications of pulmonary resection.
General thoracic surgery, 7th, pp. 551-559
[2.]
R.J. Cerfolio.
Early postoperative complications.
Pearson's thoracic and esophageal surgery, 3rd, pp. 160-165
[3.]
S. Singhal, V. Ferraris, C. Bridges, E. Clough, J. Mitchell, H. Fernando, et al.
Management of alveolar air leaks after pulmonary resection.
Ann Thorac Surg, 89 (2010), pp. 1327-1335
[4.]
A. Brunelli, M. Monteverde, A. Borri, M. Salati, R.D. Marasco, M. Al Refai, et al.
Comparison of water seal and suction after pulmonary lobectomy: a prospective, randomized trial.
Ann Thorac Surg, 77 (2004), pp. 1932-1937
[5.]
G. Varela, M.F. Jimenez, N. Novoa, J.L. Aranda.
Estimating hospital costs attributable to prolonged air leak in pulmonary lobectomy.
Ann Thorac Surg, 27 (2005), pp. 329-333
[6.]
I. Okereke, S.C. Murthy, J.M. Alster, E.H. Blackstone, T.W. Rice.
Characterization and importance of air leak after lobectomy.
Ann Thorac Surg, 79 (2005), pp. 1167-1173
[7.]
R.J. Cerfolio, C. Bass, C.R. Katholi.
Prospective randomized trial compares suction versus water seal for air leaks.
Ann Thorac Surg, 71 (2001), pp. 1613-1617
[8.]
M.B. Marshall, M.E. Deeb, J. Bleier, J.C. Kucharczuk, J.S. Friedberg, L.R. Kaiser, et al.
Suction vs water seal after pulmonary resection: a randomized prospective study.
Chest, 121 (2002), pp. 831-835
[9.]
N. Alphonso, C. Tan, M. Utley, R. Cameron, J. Dussek, L. Lang-Lazdunski, et al.
A prospective randomized controlled trial of suction versus non-suction to the under-water seal drains following lung resection.
Eur J Cardiothorac Surg, 27 (2005), pp. 391-394
[10.]
J. Belda-Sanchís, M. Serra-Mitjans, M. Iglesias Sentis, R. Rami.
Surgical sealant for preventing air leaks after pulmonary resections in patients with lung cancer.
Cochrane Database of Systematic Reviews, 1 (2010), pp. CD003051
[11.]
A. Díaz Agero, R. Vicente, J. Cárdenas, J.C. Vázquez.
Fugas aéreas perioperatorias.
Manual de anestesia y medicina perioperatoria en cirugía torácica, pp. 487-501
[12.]
P. Misthos, J. Kokotsakis, M. Konstantinou, I. Skottis, A. Lioulias.
Postoperative residual pleural spaces: characteristics and natural history.
Asian Cardiovasc Thorac Ann, 15 (2007), pp. 54-58
[13.]
E. Okur, A. Kir, S. Halezeroglu, A. Alpay, A. Atasalihi.
Pleural tenting following upper lobectomies or bilobectomies of the lung to prevent residual air space and prolonged air leak.
J Thorac Surg, 20 (2001), pp. 1012-1015
[14.]
C. Deschamps, M.S. Allen, V.F. Trastek, P.C. Pairolero.
Empyema following pulmonary resection.
Chest Surg Clin N Am, 4 (1994), pp. 583-592
[15.]
T.F. Molnar.
Current surgical treatment of thoracic empyema in adults.
Eur J Cardiothorac Surg, 32 (2007), pp. 422-430
[16.]
J. Deslauriers, L.F. Jacques, J. Gregoire.
Role of Eloesser flap and thoracoplasty in the third millennium.
Chest Surg Clin N Am, 12 (2002), pp. 605-623
[17.]
D.R. Lawrence, S.K. Ohri, R.E. Moxon, E.R. Townsend, S.W. Fountain.
Thoracoscopic debridement of empyema thoracis.
Ann Thorac Surg, 64 (1997), pp. 1448-1450
[18.]
J.L. Duque, R. Rami-Porta, A. Almaraz, M. Castanedo, J. Freixinet, A. Fernández de Rota.
Parámetros de riesgo en la cirugía del carcinoma broncogénico.
Arch Bronconeumol, 43 (2007), pp. 143-149
[19.]
H. Sirbu, T. Busch, I. Aleksic, W. Schreiner, O. Oster, H. Dalichau.
Bronchopleural fistula in the surgery of non-small cell lung cancer: incidence, risk factors, and management.
Ann Thorac Cardiovasc Surg, 7 (2001), pp. 330-336
[20.]
H. Uramoto, T. Hanagiri.
The development of bronchopleural fistula in lung cancer patients after major surgery: 31 years of experience with 19 cases.
Anticancer Res, 31 (2011), pp. 619-624
[21.]
D. Weissberg, M. Kaufmann.
Suture closure versus stapling of bronchial stump in 304 lung cancer operations.
Scand J Thor Cardiovasc Surg, 26 (1992), pp. 125-127
[22.]
Q.V. Jichen, G. Chen, G. Jiang, J. Ding, W. Gao, C. Chen.
Risk factor comparison and clinical analysis of early and late bronchopleural fistula after non-small cell lung cancer surgery.
Ann Thorac Surg, 88 (2009), pp. 1589-1593
[23.]
C.D. Wright, J.C. Wain, D.J. Mathisen, H.C. Grillo.
Postpneumonectomy bronchopleural fistula after sutured bronchial closure: incidence, risk factors, and management.
J Thorac Cardiovasc Surg, 112 (1996), pp. 1367-1371
[24.]
Y.S. Gao, P.J. Meng, J. He.
The risk factors and treatment of bronchopleural fistula after pneumonectomy.
Zhongua Wai Ke Za Zhi, 46 (2008), pp. 667-669
[25.]
D. Schneiter, P. Cassina, S. Korom, I. Incl, M. Al-Abdullatief, A. Dutly, et al.
Accelerated treatment for early and late postpneumonectomy empyema.
Ann Thorac Surg, 72 (2001), pp. 1668-1672
[26.]
J.M. Naranjo-Gómez, F.J. Ortega-Morales, R. Mons-Lera, S. Naranjo-Gozalo.
Postpneumonectomy esophagopleural fistula. An uncommon but serious complication in pulmonary surgery.
Cir Esp, 82 (2007), pp. 245
[27.]
T.W. Shields, R.B. Ponn.
Complications of pulmonary resection.
General thoracic surgery, 5th, pp. 873-934
[28.]
J. Zapatero, I. Muguruza, S. Vicente, J. Freixinet.
Complicaciones en cirugía torácica.
Tratado de cirugía Torácica, pp. 529-541
[29.]
D. Graham, E. McGahren, C. Tribble, T. Daniel, B. Rodgers.
Use of videoassisted thoracic surgery in the treatment of chylothorax.
Ann Thorac Surg, 57 (1994), pp. 1507-1511
[30.]
A. Baisi, U. Cioffi, M. Nosotti, M. De Simone, L. Rosso, L. Santambrogio.
Intrapericardial left pneumonectomy alter induction chemotherapy: the risk of cardiac herniation.
J Thorac Cardiovasc Surg, 123 (2002), pp. 1206-1207
[31.]
M. Schauman.
Postoperative pulmonary torsion: report of a case and survey of the literatura including spontaneus and posttraumatic torsion.
Thorac Cardiovasc Surg, 42 (1994), pp. 116-121
[32.]
H.C. Grillo, J.O. Shephard, D.J. Mathisen, D.J. Kanarek.
Postneumonectomy syndrome: diagnosis, management and results.
Ann Thorac Surg, 54 (1992), pp. 638-642
[33.]
E.L.R. Bédard, K. Uy, S. Keshavjee.
Postpneumonectomy syndrome: a spectrum of clinical presentations.
Ann Thorac Surg, 83 (2007), pp. 1185-1188
[34.]
J.F. Carew, D.H. Kraus, R.J. Ginsberg.
Early complications. Recurrent nerve palsy.
Chest Surg Clin N Am, 9 (1999), pp. 597-608
[35.]
J.R. Gómez, J. Vaño, L. Luengo, J. Escuder, M. Castellote, S. Ros, et al.
Tumor embolism after pneumonectomy for primary pulmonary neoplasia.
Ann Vasc Surg, 9 (1995), pp. 199-203
Copyright © 2011. Sociedad Española de Neumología y Cirugía Torácica
