PUB109 Efficacy of Early Autologous Blood-Patch Administration for Air Leak after Pulmonary Resections

Abstract

Prolonged air leak is a common complication after pulmonary resections and is the major cause of late hospital discharge. The aim of this study was to determine the efficacy of autologous blood-patch (ABP) administration in patients with air leaks after anatomic pulmonary resections. Between January 2010 and December 2015, ABP pleurodesis was performed to 44 patients (37 males, 7 females) who underwent anatomic pulmonary resection with the diagnosis of non-small cell lung cancer our clinic. The patients were divided into two groups: patients who received their ABP in postoperative first four days (Group 1) and after postoperative day four (Group 2). Durations of air leaks and chest tube drainage in these two groups were compared retrospectively. The mean age of the patients was 59.68 ± 9.90 years (range, 29 to 74 years). Right upper lobectomy was the most performed resection in 17 (38.6%) patients. The mean duration of chest tube drainage was 9.70 ± 3.65 days (range, 4 to 19 days). Two groups were compared in the means of duration of chest tube drainage and it was significantly shorter in Group 1 (7.23 ± 2.63 days vs 12.18 ± 2.73 days, p<0.0001). There was no difference between groups in terms of the stoppage duration of the air leak after ABP administration. As a result, we concluded that ABP is a safe, simple and effective procedure for the management of air leaks after pulmonary resections. Early administration of ABP in such patients shortens chest tube duration and hospital stay.