Proximal ligation of the pulmonary vein stump to prevent postoperative cerebral infarction after a lobectomy†.

ABSTRACT:

Objectives

Our goal was to assess whether proximal ligation of the pulmonary vein stump (PVS) outside the pericardium reduces the incidence of postoperative cerebral infarction (PCI) after a lobectomy.

Methods

A single-institution retrospective review was conducted of 683 patients undergoing a lobectomy for lung cancer, metastatic lung tumours and benign diseases. Associations among PCI within 90 days, ligation of the PVS and clinicopathological features were analysed. Effects of PVS ligation on PCI were assessed using multivariable regression. PVS length measured on three-dimensional computed tomographic angiography was compared between the non-ligation and ligation groups.

Results

The non-ligation and ligation groups included 356 (January 2010-March 2018) and 327 pa

SUBMITTER: Nishimura T 

PROVIDER: S-EPMC11997803 | biostudies-literature | 2025 Mar

REPOSITORIES: biostudies-literature