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 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.

Postoperative complications following the Fontan procedure: the role of aprotinin

Perfusion ◽  
2011 ◽  
Vol 26 (6) ◽  
pp. 529-535 ◽  
Author(s):  
D Klugman ◽  
MT Donofrio ◽  
D Zurakowski ◽  
RA Jonas
Keyword(s):  
Postoperative Complications ◽  
Chest Tube ◽  
Fontan Procedure ◽  
Fontan Operation ◽  
Multivariate Logistic Regression Analysis ◽  
Chest Tube Drainage ◽  
Control Group ◽  
Tube Drainage ◽  
Significant Difference ◽  
Anti Inflammatory

Objective: To determine how the anti-inflammatory properties of aprotinin impact on postoperative complications in children undergoing the Fontan procedure. Methods: We included all patients between 14 months and 18 years (n=56) undergoing a Fontan operation at our institution between January 2005 and June 2009. The study group (n=29) included patients from January 2005 through December 2007 all of whom received aprotinin. The control group (n=27) included all patients from January 2008 through June 2009 who did not receive aprotinin. We reviewed all medical records and collected preoperative, intraoperative and postoperative data. Duration and volume of chest tube drainage were the primary outcome measures. Results: Of the 20% of patients who had postoperative arrhythmias, multivariate logistic regression analysis demonstrated only aprotinin was associated with significantly decreased postoperative arrhythmias ( P=0.01). Renal function and fenestration or Fontan thrombosis did not differ significantly; there was no statistically significant difference in volume or duration of chest tube drainage. Median duration of chest tube drainage was 7 days in the aprotinin group and 8 days for patients who did not receive aprotinin ( P=0.36). Conclusion: The anti-inflammatory properties of aprotinin may be protective against postoperative arrhythmias. Aprotinin does not confer increased risks of prolonged chest tube drainage, renal dysfunction or thrombosis in patients undergoing the Fontan procedure.

scholarly journals Randomised comparison of needle aspiration and chest tube drainage in spontaneous pneumothorax

2017 ◽  
Vol 49 (4) ◽  
pp. 1601296 ◽  
Author(s):  
A. Thelle ◽  
M. Gjerdevik ◽  
M. SueChu ◽  
O. M. Hagen ◽  
P. Bakke
Keyword(s):  
Hospital Stay ◽  
Chest Tube ◽  
Spontaneous Pneumothorax ◽  
Needle Aspiration ◽  
Chest Tube Drainage ◽  
Success Rates ◽  
Adherence To Guidelines ◽  
Tube Drainage ◽  
Significant Difference ◽  
Positive Effect

Guidelines on spontaneous pneumothorax are contradictory as to intervention between needle aspiration (NA) and chest tube drainage (CTD). Studies show poor adherence to guidelines.Three Norwegian hospitals included patients with primary (PSP) and secondary (SSP) spontaneous pneumothorax. Patients underwent NA or CTD as the primary intervention. The main outcome was duration of hospital stay. Secondary outcomes were immediate- and 1-week success rates and complications.127 patients were included, including 48 patients with SSP. 65 patients underwent NA, 63 patients CTD. Median (interquartile range) hospital stay was significantly shorter for NA: 2.4 days (1.2–4.7 days), compared with CTD: 4.6 days (2.3–7.8 days) (p<0.001). The corresponding figures for the SSP subgroup were 2.54 days (1.17–7.79 days) compared with 5.53 days (3.65–9.21 days) (p=0.049) for NA and CTD, respectively. Immediate success rates were 69% for NA compared with 32% for CTD (p<0.001). The positive effect of NA remained significant in sub-analyses for SSP. There was no significant difference in 1-week success rates. Complications occurred only during the CTD-treatment.Our study shows shorter hospital stay and higher immediate success rates for NA compared with CTD. Subgroup analyses also show clear benefits for NA for both PSP and SSP.

Chest-tube drainage is a sign of acute exacerbation of interstitial lung disease associated with lung cancer

Surgery Today ◽  
2012 ◽  
Vol 43 (4) ◽  
pp. 408-411 ◽  
Author(s):  
Tomohiro Maniwa ◽  
Mitsuhiro Isaka ◽  
Kazuo Nakagawa ◽  
Yasuhisa Ohde ◽  
Takehiro Okumura ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Acute Exacerbation ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Tube Drainage

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.

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