TY - JOUR AU - Fiorelli, Alfonso AU - Scaramuzzi, Roberto AU - Costanzo, Saveria AU - Volpicelli, Antonio AU - Santini, Mario PY - 2015 TI - Interlobar fixation using TachoSil ® : a novel technique JF - Translational Lung Cancer Research; Vol 4, No 5 (October 28, 2015): Translational Lung Cancer Research (Lung Cancer Diagnostics and Treatments 2015: A Renaissance of Patient Care) Y2 - 2015 KW - N2 - Background: We evaluated the use of TachoSil ® for anchoring middle lobe to lower lobe after upper right lobectomy. Methods: The fixation of middle lobe to lower lobe was required in 39/213 consecutive upper lobectomies. In 19/39 (49%) cases, it was performed with suturing and/or stapler (standard group) and in 20 cases (TachoSil group) with Tachosil ® alone. Results: The operative time, complications, length of chest drain and hospital stay were similar between two groups. However, standard compared to TachoSil ® group presented a higher incidence of atelectasis (5% vs . 0%, P=0.4) and air leaks (5% vs . 0%, P=0.4) but it did not reach significant difference. Our technique was safe, easy, and quick. Conclusions: Upon contact with pleura, the clotting factors of TachoSil ® dissolved and formed a fibrin network which glued the collagen sponge to the pleura surface. It allowed to fix the middle lobe to lower lobe without restricting lung re-expansion and/or injuring the parenchyma. UR - https://tlcr.amegroups.org/article/view/5461