scholarly journals Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

2020 ◽  
Author(s):  
Zhengcheng Liu ◽  
Rusong Yang ◽  
Yang Sun
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Pulmonary Nodules ◽  
Chest Tube Drainage ◽  
Perioperative Outcomes ◽  
Air Leak ◽  
Leak Test ◽  
Tube Drainage ◽  
Air Leak Test ◽  
Drainage Group

Abstract Background: To investigate whether tubeless uniportal thoracoscopic wedge resection has better short-term outcomes than non-intubated approach with chest tube drainage.Methods: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Perioperative outcomes between two groups were compared. Results: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 minutes in tubeless group and 52.8 minutes in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. The postoperative pain VAS score was pain score was significantly lower in tubeless group in post-operative day 1 and 3. Side effects were rare and mild, including cough and hemoptysis. No reintervention or readmission occurred.Conclusions: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

scholarly journals Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage

BMC Surgery ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Zhengcheng Liu ◽  
Rusong Yang ◽  
Yang Sun
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Pulmonary Nodules ◽  
Chest Tube Drainage ◽  
Air Leak ◽  
Leak Test ◽  
Tube Drainage ◽  
Incision Size ◽  
Air Leak Test ◽  
Drainage Group

Abstract Background To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage. Methods Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. Results After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 min in tubeless group and 52.8 min in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group. Conclusions Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

scholarly journals Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

2020 ◽  
Author(s):  
Zhengcheng Liu ◽  
Rusong Yang ◽  
Yang Sun
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Pulmonary Nodules ◽  
Chest Tube Drainage ◽  
Air Leak ◽  
Leak Test ◽  
Tube Drainage ◽  
Incision Size ◽  
Air Leak Test ◽  
Drainage Group

Abstract Background: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage.Methods: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. Results: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 minutes in tubeless group and 52.8 minutes in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group.Conclusions: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

scholarly journals Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

2020 ◽  
Author(s):  
Zhengcheng Liu ◽  
Rusong Yang ◽  
Yang Sun
Keyword(s):  
Chest Tube ◽  
Wedge Resection ◽  
Pulmonary Nodules ◽  
Chest Tube Drainage ◽  
Air Leak ◽  
Leak Test ◽  
Tube Drainage ◽  
Incision Size ◽  
Air Leak Test ◽  
Drainage Group

Abstract Background: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage.Methods: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. Results: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 minutes in tubeless group and 52.8 minutes in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group.Conclusions: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

scholarly journals Perioperative Pneumoperitoneum after Lobectomy - Bilobectomy operations for Lung Cancer: A prospective study

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Muhammad Shoaib Nabi ◽  
Aamir Bilal ◽  
Khalid Farooq
Keyword(s):  
Lung Cancer ◽  
Prospective Study ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Positive Pressure ◽  
Air Leak ◽  
Tube Drainage ◽  
Drainage Time ◽  
Significant Difference ◽  
A Prospective Study

The aim of this study is to identify the effectiveness of perioperative pneumoperitoneum to prevent air leak after the lobectomy-bilobectomy operations for lung cancer. A prospective study was designed on consecutive 50 patients who had lobectomy-bilobectomy operations for lung cancer and whose remnant lung had failed to fill the half of the hemithoracic cavity under 30 Cm H20 positive pressure ventilation during the operation with totally relaxed diaphragm. The patients were divided into two groups: group 1(25 patients) with perioperative pneumoperitoneum, group 2(25 patients) without perioperative pneumoperitoneum. The statistical analysis between the two groups did not show any significant difference in terms of age, preoperative FEV1, and the type of resection. Perioperative pneumoperitoneum significantly reduced the duration of postoperative air leak (2.2+/-1.15 day versus 6.04+/- 3.16 days<0.0001) and total chest tube drainage time (3.84 +/-0.98 day versus 7.88+/-3.16 days p<0.001). Perioperative pneumoperitoneum after lobectomy-bilobectomy operations for lung cancer is an effective method to decrease air leak and chest tube drainage time.

scholarly journals Bronchoscopic Ethanolamine Injection Therapy in Patients with Persistent Air Leak from Chest Tube Drainage

2012 ◽  
Vol 72 (5) ◽  
pp. 441 ◽  
Author(s):  
Ah Leum Lim ◽  
Cheol-Hong Kim ◽  
Yong Il Hwang ◽  
Chang Youl Lee ◽  
Jeong-Hee Choi ◽  
...  
Keyword(s):  
Chest Tube ◽  
Chest Tube Drainage ◽  
Injection Therapy ◽  
Air Leak ◽  
Tube Drainage ◽  
Persistent Air Leak

Omitting Chest Tube Drainage after Subxiphoid Thoracoscopic Thymectomy

2019 ◽  
Vol 68 (05) ◽  
pp. 446-449 ◽  
Author(s):  
Hao Xu ◽  
Congying Guo ◽  
Yi Li ◽  
Lei Yang ◽  
Linyou Zhang
Keyword(s):  
Chest Tube ◽  
Operative Time ◽  
Pleural Cavity ◽  
Ultrasound Examination ◽  
Chest Tube Drainage ◽  
Chest Roentgenogram ◽  
Perioperative Outcomes ◽  
Chest Tubes ◽  
Chest Drainage ◽  
Tube Drainage

Background This study investigated the feasibility and safety of omitting chest tube drainage after subxiphoid thoracoscopic thymectomy. Methods From July 2018 through October 2018, 20 patients underwent subxiphoid thoracoscopic thymectomy without chest tube drainage. The clinical characteristics and perioperative outcomes of these patients are presented. Results All patients (10 males, 10 females; average age: 53.25 ± 12.50 years old) completed the operation. Chest tube drainage was omitted in a total of 20 patients. The operative time was 89.45 ± 49.80 minutes. No adverse events were observed. The bed-side ultrasound examination of the pleural cavity on the day of surgery showed a thimbleful of effusion and did not require thoracentesis. A postoperative chest roentgenogram on the next morning showed full expansion without pneumothorax in all patients. None of the patients required reintervention with chest drainage through the time of discharge. Conclusion The omission of chest tube drainage may be an alternative procedure for selected patients undergoing thoracoscopic thymectomy. The omission of chest tubes in thymectomy is safe, but further investigation is required.

Chest Tube Drainage Devices

2019 ◽  
Vol 40 (03) ◽  
pp. 386-393 ◽  
Author(s):  
Jennifer W. Toth ◽  
Michael F. Reed ◽  
Lauren K. Ventola
Keyword(s):  
Chest Tube ◽  
Interobserver Variability ◽  
Drainage System ◽  
Chest Tube Drainage ◽  
Pleural Drainage ◽  
Air Leak ◽  
Tube Drainage ◽  
Water Seal ◽  
Seal Chamber ◽  
Selection Of

AbstractPlacement of a chest tube drains intrapleural fluid and air. The tube should be attached to a drainage system, such as one-, two-, or three-compartment devices, a one-way (Heimlich) valve for ambulatory drainage, a digital system, or a vacuum bottle. The frequently employed three-compartment systems, currently integrated disposable units, allow adjustment of negative pressure or no suction (water seal), and include an air leak meter on the water seal chamber to be used for demonstrating and quantifying air leak. These readings are subjective and prone to interobserver variability. Digital pleural drainage systems offer the benefits of quantification of any air leak and pleural pressure. Indwelling pleural catheters, typically utilized for malignant pleural effusion, can be drained using vacuum bottles. Knowledge of the design and functionality of each device in the setting of an individual patient's specific pleural process facilitates the selection of practical and financially prudent chest tube drainage strategies.

Management of pneumothorax and bronchial fistulae

2016 ◽  
Author(s):  
Wissam Abouzgheib ◽  
Raquel Nahra
Keyword(s):  
Chest Tube ◽  
Chest Tube Drainage ◽  
Conservative Approach ◽  
Lung Collapse ◽  
Air Leak ◽  
Chest Tubes ◽  
Tube Drainage ◽  
Tube Removal ◽  
Associated Symptoms ◽  
Chest Tube Removal

The management of pneumothorax is dependent on size and associated symptoms. A conservative approach is preferred in small and asymptomatic ones. While a large pneumothorax warrants chest tube drainage, small bore could be as effective as large chest tubes and should be used first. The use of bedside ultrasound plays a major role in the acute management of pneumothorax and has an excellent negative predictive value. In some instances, there may be an associated air leak, caused by a broncho- or alveolopleural fistula, which can be managed by chest tube drainage, with or without suction, depending on the severity and extent of lung collapse. With a large air leak, wall suction is needed to keep the lung inflated. In small, intermittent air leaks, suction should be avoided to promote healing of the fistula. With the availability of one-way valves, management of these fistulae became easier, allowing blockage of the airway causing the air leak, and promoting healing and early chest tube removal.

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