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Article: Prospective evaluation of vacuum pleural drainage after thoracotomy in patients with esophageal carcinoma

TitleProspective evaluation of vacuum pleural drainage after thoracotomy in patients with esophageal carcinoma
Authors
Issue Date1997
PublisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.com
Citation
Archives Of Surgery, 1997, v. 132 n. 7, p. 749-752 How to Cite?
AbstractObjective: To evaluate the safety and efficacy of vacuum pleural drainage systems in selected patients. Design: Prospective nonrandomized study. Setting: Division of Upper Gastrointestinal Surgery at a tertiary care center. Patients and Intervention: Between January 1, 1995, and December 31, 1995, 32 patients underwent a right-sided posterolateral thoracotomy for the resection of esophageal carcinoma. A vacuum drain was employed in 21 patients (group 1) and an underwater drain in 11 patients (group 2). The selection of patients for vacuum drainage was based on minimal pleural adhesions and technical ease of the operation. Main Outcome Measure: Data on drainage efficiency, total drainage output and duration of the drain being left in situ, and postoperative pulmonary complications were analyzed. Results: The median total drainage outputs were 1280 mL and 1230 mL (P=.92, Mann-Whitney U test) in groups 1 and 2, respectively, and the median duration of chest drains being left in situ was 7 days and 6 days (P=.11, Mann-Whitney U test) in groups 1 and 2, respectively. Postoperative pulmonary complications occurred in 5 patients (24%) enrolled in group 1 and 5 patients (45%) enrolled in group 2 (P=.09, Fisher exact test). No hospital mortality was reported during the study. Conclusion: The vacuum drain has proved to be as safe and efficient as the traditional underwater drain, imposing less discomfort and allowing early mobilization. The vacuum drain is, therefore, recommended in selected patients undergoing thoracotomy for esophageal resection.
Persistent Identifierhttp://hdl.handle.net/10722/84389
ISSN
2014 Impact Factor: 4.926
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, Hen_HK
dc.contributor.authorLaw, Sen_HK
dc.contributor.authorWong, Jen_HK
dc.date.accessioned2010-09-06T08:52:22Z-
dc.date.available2010-09-06T08:52:22Z-
dc.date.issued1997en_HK
dc.identifier.citationArchives Of Surgery, 1997, v. 132 n. 7, p. 749-752en_HK
dc.identifier.issn0004-0010en_HK
dc.identifier.urihttp://hdl.handle.net/10722/84389-
dc.description.abstractObjective: To evaluate the safety and efficacy of vacuum pleural drainage systems in selected patients. Design: Prospective nonrandomized study. Setting: Division of Upper Gastrointestinal Surgery at a tertiary care center. Patients and Intervention: Between January 1, 1995, and December 31, 1995, 32 patients underwent a right-sided posterolateral thoracotomy for the resection of esophageal carcinoma. A vacuum drain was employed in 21 patients (group 1) and an underwater drain in 11 patients (group 2). The selection of patients for vacuum drainage was based on minimal pleural adhesions and technical ease of the operation. Main Outcome Measure: Data on drainage efficiency, total drainage output and duration of the drain being left in situ, and postoperative pulmonary complications were analyzed. Results: The median total drainage outputs were 1280 mL and 1230 mL (P=.92, Mann-Whitney U test) in groups 1 and 2, respectively, and the median duration of chest drains being left in situ was 7 days and 6 days (P=.11, Mann-Whitney U test) in groups 1 and 2, respectively. Postoperative pulmonary complications occurred in 5 patients (24%) enrolled in group 1 and 5 patients (45%) enrolled in group 2 (P=.09, Fisher exact test). No hospital mortality was reported during the study. Conclusion: The vacuum drain has proved to be as safe and efficient as the traditional underwater drain, imposing less discomfort and allowing early mobilization. The vacuum drain is, therefore, recommended in selected patients undergoing thoracotomy for esophageal resection.en_HK
dc.languageengen_HK
dc.publisherAmerican Medical Association. The Journal's web site is located at http://www.archsurg.comen_HK
dc.relation.ispartofArchives of Surgeryen_HK
dc.titleProspective evaluation of vacuum pleural drainage after thoracotomy in patients with esophageal carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0004-0010&volume=132&spage=749&epage=752&date=1997&atitle=Prospective+evaluation+of+vacuum+pleural+drainage+after+thoracotomy+in+patients+with+esophageal+carcinomaen_HK
dc.identifier.emailLaw, S: slaw@hku.hken_HK
dc.identifier.emailWong, J: jwong@hkucc.hku.hken_HK
dc.identifier.authorityLaw, S=rp00437en_HK
dc.identifier.authorityWong, J=rp00322en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid9230860-
dc.identifier.scopuseid_2-s2.0-0030745573en_HK
dc.identifier.hkuros29997en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0030745573&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume132en_HK
dc.identifier.issue7en_HK
dc.identifier.spage749en_HK
dc.identifier.epage752en_HK
dc.identifier.isiWOS:A1997XK68100016-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridLau, H=7201497812en_HK
dc.identifier.scopusauthoridLaw, S=7202241293en_HK
dc.identifier.scopusauthoridWong, J=8049324500en_HK

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