Septal structure of incomplete interlobar fissures of the lung

Satoh, Katashi; Sato, Akira; Kobayashi, Takuya; Kawase, Yoshiroh; Takahashi, Kazue; Mitani, Minoru; Fujiwara, Naomi; Takashima, Hitoshi; Ohkawa, Motoomi; Tanabe, Minoru

doi:10.1016/s1076-6332(96)80005-5

Cited by 9 publications

(3 citation statements)

References 11 publications

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“…CT may aid in identifying high-risk candidates for PAL and consequently encourage the use of preventive procedures (pulmonary sealants, special surgical techniques) in such patients [18]. FEV1 less than 1500cc and FEV1ppo less than 40% have been associated with a higher incidence of PAL in others studies [3,13,19]. We did not identify these as risk factors in our study.…”

Section: Commentmentioning

confidence: 66%

“…In our experience it is clinically more useful to define PAL with reference to the mean length of hospital stay [2,5]. In our study, we defined PAL as air leak for 5 days or more, based on the mean length of hospital stay after surgery in our department [13].…”

Section: Commentmentioning

confidence: 99%

“…We defined incomplete fissures when, after a reasonable blunt dissection (without damage to the parenchyma in the fissure), we were unable to identify the pulmonary artery and 50% or more of the fissure was fused. The incidence of fused interlobar fissures vary between 50 and 80% according to different authors [13,20,21].…”

Section: Commentmentioning

confidence: 99%

See 2 more Smart Citations

The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy

Gómez-Caro¹,

Calvo²,

Lanzas³

et al. 2007

European Journal of Cardio-Thoracic Surgery

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Section: Commentmentioning

confidence: 66%

Section: Commentmentioning

confidence: 99%

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The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy

Gómez-Caro¹,

Calvo²,

Lanzas³

et al. 2007

European Journal of Cardio-Thoracic Surgery

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Surface anatomy of the pulmonary fissures determined by high‐resolution computed tomography

2012

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The aim of our study was to describe the surface anatomy of the interlobar fissures using volumetric thin-section high-resolution computed tomography (HRCT). Retrospective assessment of HRCT examinations of 250 patients was performed. The localization of the oblique fissures was marked at three sites: posteriorly at its most superior medial limit, laterally in the midaxillary line, and inferiorly at the junction of the middle and lateral thirds of the hemithorax; posteriorly and laterally, this was to the nearest rib whilst inferiorly the position was described in relation to the diaphragm or chest wall. The localization of the horizontal fissure was marked anteriorly in relation to the nearest rib (or costal cartilage) and posteriorly where it intersected with the oblique fissure (superior, middle, or inferior third). Shapes of the fissures and differences between inspiration and expiration were also documented. Descriptive statistics were used to report the most frequent positions. The most frequent localization of the oblique fissure on the left side was posteriorly at the fourth rib (45%), laterally at the sixth rib (52%), and inferiorly in the anterior third of the hemidiaphragm (60%). The right oblique fissure was located posteriorly at the fifth rib (50%), laterally at the sixth rib (50%), and inferiorly in the anterior third of the hemidiaphragm (71%). The horizontal fissure most commonly originated in the middle third of the oblique fissure (61%) and met the anterior thoracic wall at the level of the fourth rib (51%). The most frequent shape of the left oblique fissure was linear (78%), whereas S-shaped and linear configurations (28% each) were most frequent on the right. No difference was found in the surface markings of the fissures between inspiration and expiration in 90% of cases. The considerable individual variation in the position and shape of the interlobar fissures helps to explain the variable descriptions of their surface anatomy in the literature.

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Thoracoscopic lobectomy through the pulmonary hilum approach for the treatment of congenital lung malformation

Zhang

Xin

et al. 2021

Surg Endosc

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Septal structure of incomplete interlobar fissures of the lung

Cited by 9 publications

References 11 publications

The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy

The approach of fused fissures with fissureless technique decreases the incidence of persistent air leak after lobectomy

Surface anatomy of the pulmonary fissures determined by high‐resolution computed tomography

Thoracoscopic lobectomy through the pulmonary hilum approach for the treatment of congenital lung malformation

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