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Inferior Pulmonary Ligament Division During Left Upper Lobectomy Causes Pulmonary Dysfunction

Thursday, July 20, 2023

Submitted by

EACTS Staff

Source

Source Name: Interdisciplinary Cardiovascular and Thoracic Surgery

Source URL: https://doi.org/10.1093/icvts/ivad035

Author(s)

Shoji Kuriyama, Kazuhiro Imai, Hajime Saito, Shinogu Takashima, Nobuyasu Kurihara, Ryo Demura, Haruka Suzuki, Yuzu Harata, Yusuke Sato, Katsutoshi Nakayama, Kyoko Nomura, Yoshihiro Minamiya

This study aimed to determine whether inferior pulmonary ligament (IPL) division leads to pulmonary dysfunction in 213 upper lobectomy (UL) patients divided into two groups with division or preservation of the IPL. The authors found no difference in complication rate, dead space area, forced vital capacity, or forced expiratory volume in 1 s. However, after left UL, pulmonary function was significantly better in the IPL preservation group. IPL division during left UL caused pulmonary dysfunction and limited airflow due to bronchial kinking.