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Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign

INTRODUCTION: Video-assisted thoracic surgery (VATS) for ipsilateral reoperations is controversial, because after the first surgical intervention, pleural adhesions occur frequently in the thoracic cavity and/or chest wall. This study assessed the usefulness of preoperative ultrasonography to reduce...

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Autores principales: Messina, Gaetana, Bove, Mary, Noro, Antonio, Opromolla, Giorgia, Natale, Giovanni, Leone, Francesco, Di Filippo, Vincenzo, Leonardi, Beatrice, Martone, Mario, Pirozzi, Mario, Caterino, Marianna, Facchini, Sergio, Zotta, Alessia, Vicidomini, Giovanni, Santini, Mario, Fiorelli, Alfonso, Corte Carminia, Della, Ciardiello, Fortunato, Fasano, Morena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069807/
https://www.ncbi.nlm.nih.gov/pubmed/35509050
http://dx.doi.org/10.1186/s13019-022-01844-4
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author Messina, Gaetana
Bove, Mary
Noro, Antonio
Opromolla, Giorgia
Natale, Giovanni
Leone, Francesco
Di Filippo, Vincenzo
Leonardi, Beatrice
Martone, Mario
Pirozzi, Mario
Caterino, Marianna
Facchini, Sergio
Zotta, Alessia
Vicidomini, Giovanni
Santini, Mario
Fiorelli, Alfonso
Corte Carminia, Della
Ciardiello, Fortunato
Fasano, Morena
author_facet Messina, Gaetana
Bove, Mary
Noro, Antonio
Opromolla, Giorgia
Natale, Giovanni
Leone, Francesco
Di Filippo, Vincenzo
Leonardi, Beatrice
Martone, Mario
Pirozzi, Mario
Caterino, Marianna
Facchini, Sergio
Zotta, Alessia
Vicidomini, Giovanni
Santini, Mario
Fiorelli, Alfonso
Corte Carminia, Della
Ciardiello, Fortunato
Fasano, Morena
author_sort Messina, Gaetana
collection PubMed
description INTRODUCTION: Video-assisted thoracic surgery (VATS) for ipsilateral reoperations is controversial, because after the first surgical intervention, pleural adhesions occur frequently in the thoracic cavity and/or chest wall. This study assessed the usefulness of preoperative ultrasonography to reduce the incidence of lung injury at the time of the initial port insertion during secondary ipsilateral VATS. MATERIALS AND METHODS: This was a retrospective, single-center study. Nine patients who underwent thoracic surgery at Vanvitelli Hospitalfrom September 2019 to February 2022, were scheduled for a second VATS surgeryon ipsilateral lung, because of inconclusive intraoperative histologic examination. All nine patients underwent preoperative ultrasonography to assess the possible presence of pleural adhesions. We evaluated the lung sliding, since the presence of pleural adhesions does not permit to appreciate it. STATISTICAL ANALYSIS: Hard severe adhesions were observed in all nine patients without sliding lung sign (specificity 100%). In this series, the sensitivity, PPV, and NPV of the sliding lung sign were 93%, 100% and 94% respectively. RESULTS: The presence of the lung respiratory changes can be evaluated as the “sliding lung sign” by chest ultrasonography; we believe that the sliding lung sign might also predict intrathoracic adhesion. CONCLUSIONS: Preoperative detection of pleural adhesions using transthoracic ultrasonography was useful for ipsilateral secondary pulmonary resection patients undergoing VATS. Using preoperative ultrasonography can improve the safety and feasibility of placing the initial port in VATS.
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spelling pubmed-90698072022-05-05 Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign Messina, Gaetana Bove, Mary Noro, Antonio Opromolla, Giorgia Natale, Giovanni Leone, Francesco Di Filippo, Vincenzo Leonardi, Beatrice Martone, Mario Pirozzi, Mario Caterino, Marianna Facchini, Sergio Zotta, Alessia Vicidomini, Giovanni Santini, Mario Fiorelli, Alfonso Corte Carminia, Della Ciardiello, Fortunato Fasano, Morena J Cardiothorac Surg Research Article INTRODUCTION: Video-assisted thoracic surgery (VATS) for ipsilateral reoperations is controversial, because after the first surgical intervention, pleural adhesions occur frequently in the thoracic cavity and/or chest wall. This study assessed the usefulness of preoperative ultrasonography to reduce the incidence of lung injury at the time of the initial port insertion during secondary ipsilateral VATS. MATERIALS AND METHODS: This was a retrospective, single-center study. Nine patients who underwent thoracic surgery at Vanvitelli Hospitalfrom September 2019 to February 2022, were scheduled for a second VATS surgeryon ipsilateral lung, because of inconclusive intraoperative histologic examination. All nine patients underwent preoperative ultrasonography to assess the possible presence of pleural adhesions. We evaluated the lung sliding, since the presence of pleural adhesions does not permit to appreciate it. STATISTICAL ANALYSIS: Hard severe adhesions were observed in all nine patients without sliding lung sign (specificity 100%). In this series, the sensitivity, PPV, and NPV of the sliding lung sign were 93%, 100% and 94% respectively. RESULTS: The presence of the lung respiratory changes can be evaluated as the “sliding lung sign” by chest ultrasonography; we believe that the sliding lung sign might also predict intrathoracic adhesion. CONCLUSIONS: Preoperative detection of pleural adhesions using transthoracic ultrasonography was useful for ipsilateral secondary pulmonary resection patients undergoing VATS. Using preoperative ultrasonography can improve the safety and feasibility of placing the initial port in VATS. BioMed Central 2022-05-04 /pmc/articles/PMC9069807/ /pubmed/35509050 http://dx.doi.org/10.1186/s13019-022-01844-4 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Messina, Gaetana
Bove, Mary
Noro, Antonio
Opromolla, Giorgia
Natale, Giovanni
Leone, Francesco
Di Filippo, Vincenzo
Leonardi, Beatrice
Martone, Mario
Pirozzi, Mario
Caterino, Marianna
Facchini, Sergio
Zotta, Alessia
Vicidomini, Giovanni
Santini, Mario
Fiorelli, Alfonso
Corte Carminia, Della
Ciardiello, Fortunato
Fasano, Morena
Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title_full Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title_fullStr Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title_full_unstemmed Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title_short Prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
title_sort prediction of preoperative intrathoracic adhesions for ipsilateral reoperations: sliding lung sign
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069807/
https://www.ncbi.nlm.nih.gov/pubmed/35509050
http://dx.doi.org/10.1186/s13019-022-01844-4
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