Aerostasis to limit air leak following extended pleurectomy-decortication.
An-Lies ProvoostAndreas BouckaertCedric VanluytenAnnalisa BarbarossaKristiaan NackaertsBirgit WeynandJohan CoolenSofian BounebOlivia Theisen-LaukIsabelle OpitzPhilippe NafteuxLaurens Joseph CeulemansPublished in: European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery (2024)
Extended pleurectomy-decortication is a cytoreductive surgical treatment for malignant pleural mesothelioma. Prolonged air leak remains a major postoperative challenge, lengthening hospital stay and increasing morbidity. In this video report, we present a stepwise approach for visceral decortication and introduce the concept of aerostasis by construction of an artificial neopleura. Our results suggest that improved aerostasis results in shortened air leak duration.