期刊论文详细信息
Journal of Cardiothoracic Surgery
Natural air leak test without submergence for spontaneous pneumothorax
Fumihiro Tanaka1  Hidetaka Uramoto1 
[1] Second Department of Surgery, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807, Japan
关键词: VATS;    operation;    air leak;    spontaneous pneumothorax;   
Others  :  1153556
DOI  :  10.1186/1749-8090-6-165
 received in 2011-06-12, accepted in 2011-12-24,  发布年份 2011
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【 摘 要 】

Background

Postoperative air leaks are frequent complications after surgery for a spontaneous pneumothorax (SP). We herein describe a new method to test for air leaks by using a transparent film and thoracic tube in a closed system.

Method

Between 2005 and 2010, 35 patients underwent a novel method for evaluating air leaks without submergence, and their clinical records were retrospectively reviewed. The data on patient characteristics, surgical details, and perioperative outcomes were analyzed.

Results

The differences in the clinical background and intraoperative factors did not reach a statistically significant level between the new and classical methods. The incidence of recurrence was also equivalent to the standard method. However, the length of the operation and drainage periods were significantly shorter in patients evaluated using the new method than the conventional method. Further, no postoperative complications were observed in patients evaluated using the new method.

Conclusions

This simple technique is satisfactorily effective and does not result in any complications.

【 授权许可】

   
2011 Uramoto and Tanaka; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Muramatsu T, Nishii T, Takeshita S, Ishimoto S, Morooka H, Shiono M: Preventing recurrence of spontaneous pneumothorax after thoracoscopic surgery: a review of recent results. Surg Today 2010, 40:696-9.
  • [2]Abolhoda A, Liu D, Brooks A, Burt M: Prolonged air leak following radical upper lobectomy: an analysis of incidence and possible risk factors. Chest 1998, 113:1507-10.
  • [3]Toloza EM, Harpole DH Jr: Intraoperative techniques to prevent air leaks. Chest Surg Clin N Am 2002, 12:489-505.
  • [4]Naunheim KS, Mack MJ, Hazelrigg SR, Ferguson MK, Ferson PF, Boley TM, Landreneau RJ: Safety and efficacy of video-assisted thoracic surgical techniques for the treatment of spontaneous pneumothorax. J Thorac Cardiovasc Surg 1995, 109:1198-203.
  • [5]Uramoto H, Takenoyama M, Hanagiri T: Simple prophylactic fixation for lung torsion. Ann Thorac Surg 2010, 90:2028-30.
  • [6]Oka S, Uramoto H, Hanagiri T: Successful extirpation of thoracic pleural lipoma by single port thoracoscopic surgery. Asian J Surg, in press.
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