Optimizing biomaterials and surgical strategies for prevention and treatment of persistent air leak after thoracoscopic pulmonary resection:a practice review based on risk stratification
- VernacularTitle:优化生物材料与术式策略防治胸腔镜肺切除术后持续性漏气:基于风险分层的实践综述
- Author:
Ming LIU
1
;
Huidong YU
;
Sanyuan LU
;
Defeng ZHAO
;
Jiaqi QIN
;
Binyang LIU
;
Wenya LI
Author Information
- Keywords: thoracoscopic pulmonary resection; biomaterials; cost-effectiveness; risk stratifi-cation; pleurodesis; enhanced recovery after surgery; persistent air leak; minimally invasive surgery
- From: Journal of Clinical Medicine in Practice 2025;29(18):131-136
- CountryChina
- Language:Chinese
- Abstract: Over 2 million thoracoscopic pulmonary resections are performed globally each year,however,postoperative persistent air leak(PAL)remains a common and challenging complication.It not only prolongs hospital stays and increases treatment costs but may also lead to severe complica-tions,particularly inducing a higher risk in patients undergoing mechanical ventilation.In recent years,with the improvement of preoperative preventive measures,the advancement of surgical tech-niques,and the application of repair materials,the incidence of PAL has decreased.This review sys-tematically summarized the definition,clinical impact,risk factors and preventive strategies of PAL,and explored commonly used treatment modalities,such as thoracic drain management,pleurodesis and the application of novel repair materials.It also analyzed the effectiveness,safety and challenges of existing techniques.Furthermore,this review proposed the establishment of an enhanced recovery after surgery(ERAS)integrated pathway combining bovine pericardium(BP)patch with electro-me-chanical stapler and conducted corresponding treatment benefit-cost assessment.
