scholarly journals Postoperative chest tube placement after thoracoscopic wedge resection of lung for primary spontaneous pneumothorax: is it mandatory?

2018 ◽  
Vol 10 (8) ◽  
pp. 4812-4818
Author(s):  
Jae Bum Park ◽  
Jae Joon Hwang ◽  
Woo Surng Lee ◽  
Yo Han Kim ◽  
Song Am Lee
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Wedge Resection ◽  
Primary Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Chest Tube Placement

Differential Outcome of Fissure-positioned Tube in Closed Thoracostomy for Primary Spontaneous Pneumothorax

2015 ◽  
Vol 81 (5) ◽  
pp. 463-466
Author(s):  
Yong Won Kim ◽  
Chun Sung Byun ◽  
Yong Sung Cha ◽  
Oh Hyun Kim ◽  
Kang Hyun Lee ◽  
...  
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Pleural Space ◽  
Primary Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Symptom Duration ◽  
Tube Insertion ◽  
Chest Tube Placement ◽  
Chest Tube Insertion ◽  
Significant Difference

Closed tube thoracostomy is often used to evacuate a primary spontaneous pneumothorax (PSP). Occasionally, this procedure is complicated by placement of the chest tube location in the fissural area instead of pleural space. There is a paucity of studies on outcomes according to chest tube placement. As such, we investigated outcomes of chest tube placement in fissural versus pleural area in closed thoracostomy for PSP. Patients between 14 and 65 years of age who had been treated with chest tube insertion to evacuate PSP were selected based on retrospective review of medical records. Patients selected for this study received chest tube placement at either the fissural or pleural spaces. Those with pre-existing lung disease or those transferred into our hospital after closed thoracostomy were excluded. Of the 255 patients with PSP treated with chest tube insertion, 172 patients were enrolled in this study. Twenty-nine (16.9%) had fissural tube placement and 143 (83.1%) had pleural tube placement. A higher proportion of patients in the fissural versus pleural group required additional chest tube insertion (20.7% vs 4.9%, P = 0.010, respectively). There was no significant difference in body mass index, smoker status, symptom duration, number of episodes, post-thoracostomy complications, need for subsequent management, and duration of hospitalization in either group. In closed thoracostomy for PSP, there is a higher chance of tube dysfunction when the chest tube is positioned at fissural area as compared with the pleural space.

scholarly journals Re-expansion pulmonary oedema after spontaneous pneumothorax treatment with chest tube placement

2021 ◽  
Vol 14 (3) ◽  
pp. e241734
Author(s):  
Denny Rodrigues ◽  
Margarida Valério ◽  
Teresa Costa
Keyword(s):  
Pulmonary Oedema ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tube Placement ◽  
Chest Tube Placement

Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung

Surgery Today ◽  
2011 ◽  
Vol 41 (6) ◽  
pp. 774-779 ◽  
Author(s):  
Shinji Nakashima ◽  
Atsushi Watanabe ◽  
Taijirou Mishina ◽  
Takuro Obama ◽  
Tohru Mawatari ◽  
...  
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Postoperative Management ◽  
Tube Placement ◽  
Chest Tube Placement

scholarly journals Metastatic Pulmonary Angiosarcoma Presenting With Bilateral Secondary Spontaneous Pneumothoraces

2016 ◽  
Vol 32 (4) ◽  
pp. 292-296
Author(s):  
Daniel Jimenez ◽  
James Antaki ◽  
Nader Kamangar
Keyword(s):  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Tension Pneumothorax ◽  
Disease Process ◽  
Tube Placement ◽  
Lung Pathology ◽  
Severe Respiratory Distress ◽  
Chest Tube Placement ◽  
High Propensity ◽  
Rare Malignancy

Background: Spontaneous pneumothorax (SP) is uncommon and can present as a primary disease process or as a result of underlying lung pathology. Several parenchymal lung diseases, such as malignancy, are known to cause SP. One such malignancy, angiosarcoma, has a high propensity to metastasize to the lung and present as cavitary and cystic lesions. Case: We present a case of a 76-year-old male diagnosed with angiosarcoma of the scalp that was found to have extensive cystic pulmonary metastatic lesions. Soon after his initial diagnosis, he presented with severe respiratory distress secondary to a spontaneous left-sided pneumothorax. After intubation and left-sided chest tube placement, the patient developed a right-sided tension pneumothorax requiring emergent chest tube placement. Conclusion: Cutaneous angiosarcoma is a rare malignancy that frequently metastasizes the lung. Spontaneous pneumothorax can be the presenting manifestation of the disease and often results in respiratory failure.

scholarly journals Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung☆

2004 ◽  
Vol 25 (5) ◽  
pp. 872-876 ◽  
Author(s):  
Atsushi Watanabe ◽  
Toshiaki Watanabe ◽  
Hisayoshi Ohsawa ◽  
Tohru Mawatari ◽  
Yasunori Ichimiya ◽  
...  
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Tube Placement ◽  
Chest Tube Placement ◽  
Video Assisted

scholarly journals Comparison of non-intubated and intubated video-assisted thoracoscopic surgeries of major pulmonary resections for lung cancer—a meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wenfei Xue ◽  
Guochen Duan ◽  
Xiaopeng Zhang ◽  
Hua Zhang ◽  
Qingtao Zhao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Chest Tube ◽  
Meta Analysis ◽  
Tube Placement ◽  
Postoperative Complication Rate ◽  
Chest Tube Placement ◽  
Video Assisted

Abstract Objective The aim of this study was to compare the safety feasibility and safety feasibility of non-intubated (NIVATS) and intubated video-assisted thoracoscopic surgeries (IVATS) during major pulmonary resections. Methods A meta-analysis of eight studies was conducted to compare the real effects of two lobectomy or segmentectomy approaches during major pulmonary resections. Results Results showed that the patients using NIVATS had a greatly shorter hospital stay and chest-tube placement time (weighted mean difference (WMD): − 1.04 days; 95% CI − 1.50 to − 0.58; P < 0.01) WMD − 0.71 days; 95% confidence interval (CI), − 1.08 to − 0.34; P < 0.01, respectively) while compared to those with IVATS. There were no significant differences in postoperative complication rate, surgical duration, and the number of dissected lymph nodes. However, through the analysis of highly selected patients with lung cancer in early stage, the rate of postoperative complication in the NIVATS group was lower than that in the IVATS group [odds ratio (OR) 0.44; 95% CI 0.21–0.92; P = 0.03, I2 = 0%]. Conclusions Although the comparable postoperative complication rate was observed for major thoracic surgery in two surgical procedures, the NIVATS method could significantly shorten the hospitalized stay and chest-tube placement time compared with IVATS. Therefore, for highly selected patients, NIVATS is regarded as a safe and technically feasible procedure for major thoracic surgery. The assessment of the safety and feasibility for patients undergoing NIVATS needs further multi-center prospective clinical trials.

scholarly journals Efficacy and safety of pleurectomy and wedge resection versus simple pleurectomy in patients with primary spontaneous pneumothorax

2019 ◽  
Vol 11 (12) ◽  
pp. 5502-5508
Author(s):  
Agata Dżeljilji ◽  
Krzysztof Karuś ◽  
Artur Kierach ◽  
Barbara Kazanecka ◽  
Wojciech Rokicki ◽  
...  
Keyword(s):  
Spontaneous Pneumothorax ◽  
Wedge Resection ◽  
Primary Spontaneous Pneumothorax ◽  
Efficacy And Safety
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