Treatment of Primary Spontaneous Pneumothorax Using a Commercialized 8-French Catheter (Pleuracan(R)) / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery
; : 292-296, 2007.
Article
in Ko
| WPRIM
| ID: wpr-191966
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Pneumothorax
/
Thoracostomy
/
Catheters, Indwelling
/
Chest Tubes
/
Retrospective Studies
/
Catheters
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Analgesics
/
Length of Stay
/
Lung
Type of study:
Observational_studies
Limits:
Humans
Language:
Ko
Journal:
The Korean Journal of Thoracic and Cardiovascular Surgery
Year:
2007
Type:
Article