Treatment of Primary Spontaneous Pneumothorax Using a Commercialized 8-French Catheter (Pleuracan(R)).
- Author:
Jung Sik PARK
1
;
Jae Ik LEE
;
Yeo Ju HWANG
;
Kook Yang PARK
;
Chul Hyun PARK
;
Yang Bin JEON
;
Chang Hyu CHOI
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Gil Medical Center, Gachon University Medical School, Korea. lji@gilhospital.com
- Publication Type:Original Article
- Keywords:
Pneumothorax;
Catheter;
Thoracostomy
- MeSH:
Analgesics;
Catheters*;
Catheters, Indwelling;
Chest Tubes;
Humans;
Length of Stay;
Lung;
Pneumothorax*;
Retrospective Studies;
Thoracostomy
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2007;40(4):292-296
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Background: This retrospective study was undertaken to assess the effectiveness of the 8-French (Fr) catheter (Pleuracan(R)) for the initial treatment of primary spontaneous pneumothorax. MATERIAL AND METHOD: Between July 2004 and July 2006, 59 patients (72 cases) underwent a closed thoracostomy for primary spontaneous pneumothorax. We divided these patients into two groups: group T (large bore (>20 Fr) chest tube group) and group P (Pleuracan(R) group). RESULT: Initially, the Pleuracan(R) catheters were inserted in 41 cases. There were four catheter malfunctions (9.8%); three cases had a subsequent closed thoracostomy with a large bore chest tube. Ultimately, there were 34 cases in group T and 38 cases in group P. There were no significant differences in indwelling catheter time (T: 2.1+/-1.5 days, P: 2.1+/-1.3 days), hospital stay (T: 6.4+/-5.4 days, P: 5.2+/-2.9 days) and complications (T: 3%, P: 0%) between the two groups. The percentage of cases that needed intravenous analgesics in group P was 60% (23/38); this was significantly lower than the number for group T (90%, 31/34) (p=0.003). In a subgroup of patients that did not undergo bullectomy (T: 17 cases, P: 19 cases), there were no significant differences in the duration of air leakage (T: 0.5+/-0.7 days, P: 0.5+/-1.2 days) and in the percentage of patients with complete lung re-expansion (T: 94%, P: 84%) between the two groups. CONCLUSION: Application of the Pleuracan(R) catheter for the initial treatment of primary spontaneous pneumothorax was as effective as the large bore chest tube.
