Management of the residual pleural space after lung resection: phrenic nerve block, pneumoperitoneum and chemical pleurodesis: 2 clinical cases

Manejo del espacio residual pleural post resección pulmonar: bloqueo del nervio frénico, neumoperitoneo y pleurodesis química: 2 casos clínicos

Sastre, Ignacio - España, Manuel - Ceballos, Roberto - Siri, Juan - Bustos, Mario E.F

Resumen:

The residual pleural space after lung resection associated with air leak is a frequent finding. It is reported that it can occur in up to 40% of patients in the first postoperative days. Treatment may require re-surgery or the use of less invasive procedures. In two patients, we performed cervical phrenic nerve block, pneumoperitoneum, and chemical pleurodesis by drainage tube.


El espacio pleural residual post resección pulmonar asociado a fuga aérea es un hallazgo frecuente. Se informa que puede ocurrir en hasta el 40% de los pacientes en los primeros días postoperatorios. El tratamiento puede requerir re-intervenciones quirúrgicas o la utilización de procedimientos menos invasivos. Realizamos en dos pacientes bloqueo cervical del nervio frénico, neumoperitoneo y pleurodesis química por tubo de drenaje.


Detalles Bibliográficos
2020
resección pulmonar
pleurodesis
cavidad pleural
espacio pleural residual
lung resection
pleurodesis
pleural cavity
residual pleural space
Español
Sociedad de Cirugía del Uruguay
Revista Cirugía del Uruguay
https://revista.scu.org.uy/index.php/cir_urug/article/view/1842
Acceso abierto
Resumen:
Sumario:The residual pleural space after lung resection associated with air leak is a frequent finding. It is reported that it can occur in up to 40% of patients in the first postoperative days. Treatment may require re-surgery or the use of less invasive procedures. In two patients, we performed cervical phrenic nerve block, pneumoperitoneum, and chemical pleurodesis by drainage tube.