Abstract
Some patients benefit from accurate integrity assessment of pulmonary fissures. There are a number of methods for the assessment of incomplete interlobar fissures: imaging techniques, endobronchial methods measuring collateral air flow, a perioperative view, and autopsies used in research into pulmonary anatomy. We performed a computerized advanced search for primary evidence in the PubMed (Public/Publisher MEDLINE) and Google Scholar electronic databases using the following terms: incomplete and fissure. The search was not restricted to the English literature, nor limited by publication time. The bibliographic search was then extended to the "Related Articles" links and to the list of literature references of each article. Publications have consistently shown that interlobar fissures exhibit high variability and that preoperative or at least detailed perioperative assessment can influence the effect of treatment.
Highlights
Pulmonary interlobar fissures are formed by the visceral pleura and they separate the lung lobes from each other
When lobectomy is performed in a patient with an incomplete interlobar fissure, there is a higher risk of air leakage[2,4,5,6,7]
Incomplete interlobar fissures can lead to an inadequate result of one of the possible therapeutic approaches in emphysema – the implantation of one-way valves in these patients does not lead to complete lobar atelectasis as a result of collateral ventilation and the effect of the therapy is not optimal[8,9,10]
Summary
Some patients benefit from accurate integrity assessment of pulmonary fissures. There are a number of methods for the assessment of incomplete interlobar fissures: imaging techniques, endobronchial methods measuring collateral air flow, a perioperative view, and autopsies used in research into pulmonary anatomy. We performed a computerized advanced search for primary evidence in the PubMed (Public/ Publisher MEDLINE) and Google Scholar electronic databases using the following terms: incomplete and fissure. The search was not restricted to the English literature, nor limited by publication time. The bibliographic search was extended to the “Related Articles” links and to the list of literature references of each article. Publications have consistently shown that interlobar fissures exhibit high variability and that preoperative or at least detailed perioperative assessment can influence the effect of treatment.
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