The influence of chest tube size and position in primary spontaneous pneumothorax

Riber, Sara Schødt; Riber, Lars Peter; Olesen, Winnie Hedevang; Licht, Peter B.

doi:10.21037/jtd.2017.02.18

Cited by 15 publications

(10 citation statements)

References 6 publications

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“…[3] However, results varied as to the success rates, duration of drainage and complication reported in different studies. [4,5] Previous studies have shown that smaller tubes induced less pain, but whether the clinical advantage could bring a better clinical outcome was still unknown. [6] Thus we conducted a systematic review and meta-analysis to obtain precise estimates of the safety and efficacy of pigtail catheters in pleural effusion and pneumothorax.…”

Section: Introductionmentioning

confidence: 99%

Does pigtail catheters relieve pneumothorax?

Fang

Liu²,

Luo³

et al. 2018

Medicine

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Background: Pigtail catheter drainage has been usually applied for the treatment of pleural effusion and pneumothorax. Our aim was to investigate the application and efficacy of pigtail catheters for pneumothorax. Methods: We carried out a meta-analysis of retro- or pro-spective studies addressing the effect of pigtail catheters for pneumothorax. We presented success rates of pigtail catheter drainage as primary outcomes, and considered the duration of drainage, and complication rates as secondary outcomes. Pooled data were available using the fixed or random effects model. Heterogeneity, sensitivity, and subgroup analyses were performed. Results: The meta-analysis was based on 16 articles with a total of 1067 patients. Our analyses showed that pooled success rates were 0.77 (0.71–0.82), )furthermore, duration of drainage was 5.61 (3.99–7.23), and complication rates 0.18 (0.09–0.27). Subgroup results according to causes of pneumothorax and patient characteristics were robust and all consistent with overall outcomes. Conclusion: These suggested that pigtail catheter insertion within radiological guidance may provide a safe and effective way for the treatment of pneumothorax. More large-scale and prospective studies were required to determine these findings.

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Section: Introductionmentioning

confidence: 99%

Does pigtail catheters relieve pneumothorax?

Fang

Liu²,

Luo³

et al. 2018

Medicine

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“…Recently, 14-Fr pigtail catheters have been widely used for spontaneous pneumothorax [ 12 , 13 ]. The pigtail could also be used in chest fluid collection, but its use for the drainage of trauma-derived hemothorax remains controversial [ 8 , 11 ].…”

Section: Discussionmentioning

confidence: 99%

It is Time to Replace Large Drains with Small Ones After Fixation of Rib Fractures: A Prospective Observational Study

Liu

Tarng

et al. 2022

Adv Ther

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Introduction Large-bore chest tubes are usually applied after thoracic surgery. Recently, small-bore tubes have been increasingly considered owing to the extensive use of video-assisted thoracoscopic surgery (VATS). This study assessed the differences in outcomes between large-bore and small-caliber drainage tubes in patients undergoing surgical stabilization of rib fractures (SSRF) with VATS. Methods Overall, 131 patients undergoing SSRF with VATS were prospectively enrolled, including 65 patients receiving 32-Fr chest tubes (group 1) and 66 patients receiving 14-Fr pigtail catheters (group 2) for postoperative drainage. The clinical characteristics and perioperative outcomes of the patients were compared. Results All patients underwent SSRF with VATS within 4 days after trauma. After the operation, the mean duration of chest tubes was longer than that of pigtail catheters, with statistical significance (5.08 ± 2.47 vs 3.11 ± 1.31, P = 0.001). Length of stay (LOS) was also longer in group 1 (10.38 ± 2.90 vs 8.18 ± 2.44, P = 0.001). After multivariate logistic regression, the only independent factors between the two groups were duration of postoperative drainage (adjusted odds ratio [AOR] 1.746; 95% confidence interval [CI] 0.171–10.583, P = 0.001) and hospital LOS (AOR 1.272; 95% CI 0.109–4.888, P = 0.027). Conclusion After reconstruction of the chest wall and lung parenchyma, small-caliber drainage catheters could be easily and safely applied to reduce hospital LOS.

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“…The use of a large chest tube could also explain the longer chest tube duration (mean 3 days in each group) compared to other series. Recently, Riber and colleagues, 16 in patients with spontaneous pneumothorax, found that chest tube duration was significantly longer with a large 24F surgical chest tube compared to the smaller 21F surgical chest tubes. Additionally, the follow-up period was relatively short for evaluating recurrence.…”

Section: Discussionmentioning

confidence: 99%

Uniportal thoracoscopic surgical management using a suture traction for primary pneumothorax

Fiorelli

Cascone

Carlucci

et al. 2020

Asian Cardiovasc Thorac Ann

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Background We devised a new strategy using suture traction to facilitate the management of primary spontaneous pneumothorax during uniportal thoracoscopy. To test its validity, we compared the outcomes of our modified technique with those of conventional three-port thoracoscopy. Methods This retrospective study included all 43 consecutive patients with primary spontaneous pneumothorax undergoing thoracoscopy between January 2017 and December 2019. They were divided within two groups: uniportal thoracoscopy using suture traction ( n = 21) and conventional 3-port thoracoscopy ( n = 22). Postoperative pain, paresthesia, patient satisfaction, and surgical outcomes were compared to test the validity of our technique. Results There were no significant differences in operative time (47 ± 4.8 vs. 43 ± 7.9 min), number of staples used (2.5 ± 0.9 vs. 2.3 ± 0.6), postoperative drainage (235 ± 15 vs. 240 ± 19 mL), chest tube drainage time (3.2 ± 0.8 vs. 3.4 ± 1.8 days), and hospital stay (4.2 ± 1.2 vs. 4.3 ± 0.9 days). However, uniportal thoracoscopy was associated with less pain at 24 ( p = 0.01), 48 ( p = 0.02), and 72 h ( p = 0.03) postoperatively, less paresthesia at 24 ( p = 0.03), 48 ( p = 0.02), and 72 h ( p = 0.02) postoperatively, and greater patient satisfaction at 24 ( p = 0.04), 48 ( p = 0.02), and 72 h ( p = 0.02) postoperatively. Conclusions Our technique may facilitate the use of uniportal thoracoscopy for treatment of primary spontaneous pneumothorax, reducing neurological sequelae and improving patient satisfaction compared to the traditional three-port thoracoscopy.

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The influence of chest tube size and position in primary spontaneous pneumothorax

Cited by 15 publications

References 6 publications

Does pigtail catheters relieve pneumothorax?

Does pigtail catheters relieve pneumothorax?

It is Time to Replace Large Drains with Small Ones After Fixation of Rib Fractures: A Prospective Observational Study

Uniportal thoracoscopic surgical management using a suture traction for primary pneumothorax

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