TITLE

Initial Chest Tube Management After Pulmonary Resection

AUTHOR(S)
Antanavicius, G.; Lamb, J.; Papasavas, P.; Caushaj, P.
PUB. DATE
May 2005
SOURCE
American Surgeon;May2005, Vol. 71 Issue 5, p416
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Tube thoracostomy management with suction or water seal after anatomical pulmonary resection remains somewhat controversial. Initial chest tube management may influence the duration of pleural fluid drainage, duration of tube thoracostomy, and/or hospital length of stay following pulmonary resection. We hypothesized that initial chest tube management with water seal decreases time for chest tube removal and decreases time of hospital stay. A retrospective chart review was performed on 109 consecutive patients who underwent lobectomy or segmentectomy in Western Pennsylvania Hospital between December 1999 and December 2003. Comparison was made between chest tube management of water seal or suction in patients with and without air leak. Of the 109 patients, 78 (72%) had no air leak at the completion of surgery, and 31 (28%) had air leak. In the group without air leak (n = 78), water seal was used in 32 (41%) patients and suction in 46 (59%). In patients placed to water seal initially after surgery (n = 32), removal of chest tubes was on postoperative day (POD) 3.19 ± 0.24 and hospital discharge was on POD 5.13 ± 0.61. In patients placed to suction initially (n = 46), chest tubes were removed on POD 4.52 ± 0.40. Hospital discharge was on POD 6.74 ± 0.5. Both duration of chest tube (P < 0.007) and length of hospital stay (P < 0.04) were significantly lower in the water seal group. In the air leak group (n = 31), 7 (23%) patients were managed with water seal and 24 (77%) patients with suction. Both duration of chest tube (P = 0.001) and length of hospital stay (P < 0.05) were significantly lower in the water seal group. In patients without air leak, chest tubes should be managed with water seal following anatomical pulmonary resection, resulting in significantly shorter chest tube duration and hospital length of stay.
ACCESSION #
17074418

 

Related Articles

  • Feasibility of video-assisted thoracoscopic surgery segmentectomy for selected peripheral lung carcinomas Watanabe, Atsushi; Ohori, Syunsuke; Nakashima, Shinji; Mawatari, Tohru; Inoue, Norio; Kurimoto, Yoshihikoi; Higami, Tetsuya // European Journal of Cardio-Thoracic Surgery;May2009, Vol. 35 Issue 5, p775 

    Abstract: Objective: Segmentectomy for non-small cell lung cancer (NSCLC) is believed to increase the rates of recurrence and postoperative air leak. We sought to present our clinical data and outcome of VATS (video-assisted thoracoscopic surgery) segmentectomies with systematic node dissection...

  • Breast tuberculosis in Northeast Iran: review of 22 cases. Khodabakhshi, Behnaz; Mehravar, Fatemeh // BMC Women's Health;2014, Vol. 14 Issue 1, p1 

    Background Breast tuberculosis (breast TB) is an extremely rare disease, so case reviews are also rare. Methods This study is a retrospective review of patients with breast TB who were treated between 2002 and 2012 at the Health Center of Gorgan City. Results All 22 patients were females, their...

  • A GUIDE TO MOBILE CHEST DRAINS. Carroll, Patricia // RN;May2002, Vol. 65 Issue 5, p56 

    Focuses on chest drainage equipments in the U.S. Components of the Heimlich valve mobile chest drain; Instructions in attaching the tru-close thoracic vent; Advantages of using the pneumostat chest drain valve. INSET: Shorter stays with mobile chest drains.

  • Tumores primarios benignos de la pared torácica. Resultados del tratamiento quirúrgico. Dolores-Velázquez, Rigoberto; Lever-Rosas, Carlos Daniel; Barrera-Franco, José Luis; Padilla-Rosciano, Alejandro; Frías-Mendívil, Mauricio; Domínguez-Parra, Luis // Cirugia y Cirujanos;nov/dic2007, Vol. 75 Issue 6, p419 

    Objective: We undertook this study to describe the clinical characteristics of primary benign chest wall tumors and to evaluate the results of surgical treatment. Methods: We included patients with primary benign chest wall tumors who underwent surgical resection at the Instituto Nacional de...

  • Cholangiocarcinoma: A 7-year experience at a single center in Greece. Alexopoulou, Alexandra; Soultati, Aspasia; Dourakis, Spyros P.; Vasilieva, Larissa; Archimandritis, Athanasios J.; Marin, Jose J. G. // World Journal of Gastroenterology;10/28/2008, Vol. 14 Issue 40, p6213 

    AIM: To evaluate survival rate and clinical outcome of cholangiocarcinoma. METHODS: The medical records of 34 patients with cholangiocarcinoma, seen at a single hospital between the years 1999-2006, were retrospectively reviewed. RESULTS: Thirty-four patients with a median age of 75 years were...

  • Uniportal video-assisted thoracoscopic surgery right upper lobectomy with systematic lymphadenectomy in a semiprone position. Zongwu Lin; Songtao Xu; Qun Wang // Journal of Thoracic Disease;2014, Vol. 6 Issue 12, p1840 

    No abstract available.

  • Feasibility of Chemical Pleurodesis with Small Bore Catheter in Patients with Symptomatic Malignant Pleural Effusions. Firoozbakhsh, Shahram; Seifirad, Soroush; Safavi, Enayat; Derakhshandeilami, Gholamreza; Borsi, Hamid; Zahedpouranaraki, Mohammadreza; Abtahi, Hamidreza // Turk Toraks Dergisi / Turkish Thoracic Journal;Mar2012, Vol. 13 Issue 1, p18 

    Objective: To investigate the feasibility of small-bore catheters in sclerotherapy of malignant pleural effusions. Conventionally, malignant pleural effusions are treated with tube pleurodesis. Recently, small-bore catheters were placed with no notable difference in results. Material and Method:...

  • Surgeons' Volume-Outcome Relationship for Lobectomies and Wedge Resections for Cancer Using Video-Assisted Thoracoscopic Techniques. David, Guy; Gunnarsson, Candace L.; Moore, Matt; Howington, John; Miller, Daniel L.; Maddaus, Michael A.; McKenna Jr., Robert Joseph; Meyers, Bryan F.; Swanson, Scott J. // Minimally Invasive Surgery (20901445);2012, p1 

    This study examined the effect of surgeons' volume on outcomes in lung surgery: lobectomies and wedge resections. Additionally, the effect of video-assisted thoracoscopic surgery (VATS) on cost, utilization, and adverse events was analyzed. The Premier Hospital Database was the data source for...

  • Surgical Treatment of a Tuberculous Abscess of the Chest Wall. Dong-Yoon Keum; Jae-Bum Kim; Chang-Kwon Park // Korean Journal of Thoracic & Cardiovascular Surgery;2012, Vol. 45 Issue 3, p177 

    Background: Tuberculous abscess of the chest wall is a very rare disease. Few articles have reported on it and those that have enrolled few patients. To determine the characteristics of this disease and to suggest an optimal treatment strategy, we reviewed patients treated by surgical...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics