Active or passive chest drainage after oesophagectomy in 101 patients : a prospective randomized study
Johansson, J LU
; Lindberg, C G
; Johnsson, F
LU
; von Holstein, C S
; Zilling, T
LU
and Walther, B
LU
(1998)
In British Journal of Surgery
85(8).
p.6-1143
- Abstract
BACKGROUND: This study evaluates the efficiency and safety of two methods of chest drainage after uncomplicated oesophagectomy.
METHODS: A prospective randomized study between active suction drainage and passive chest drainage was carried out in 101 patients who underwent gastric pull-up oesophagectomy.
RESULTS: No difference in the prevalence of pneumothorax during treatment was noted between the active (nine of 55) and the passive (four of 46) drainage groups (P=0.20). Nor was there any difference in the size (P=0.46) and duration (P=0.53) of the pneumothorax. There was no significant difference in right (P=0.84) and left (P=0.61) basal atelectases and the amounts of right (P=0.10) and left (P=0.24) pleural effusions.... (More)
BACKGROUND: This study evaluates the efficiency and safety of two methods of chest drainage after uncomplicated oesophagectomy.
METHODS: A prospective randomized study between active suction drainage and passive chest drainage was carried out in 101 patients who underwent gastric pull-up oesophagectomy.
RESULTS: No difference in the prevalence of pneumothorax during treatment was noted between the active (nine of 55) and the passive (four of 46) drainage groups (P=0.20). Nor was there any difference in the size (P=0.46) and duration (P=0.53) of the pneumothorax. There was no significant difference in right (P=0.84) and left (P=0.61) basal atelectases and the amounts of right (P=0.10) and left (P=0.24) pleural effusions. There were significantly more basal atelectases (P < 0.001) and pleural effusions (P<0.001) in the non-operated left side compared with the operated right side. Postoperative hospital stay was the same in both groups (median 13 days; P=0.86). The hospital mortality rate was two of 101, and was not affected by the type of drainage.
CONCLUSION: Passive drainage did not reduce hospital stay, but was as safe and effective as the active system in draining the pleural cavity after uncomplicated oesophagectomy.
(Less)
- author
- Johansson, J
LU
; Lindberg, C G
; Johnsson, F
LU
; von Holstein, C S
; Zilling, T
LU
and Walther, B
LU
- organization
- publishing date
- 1998-08
- type
- Contribution to journal
- publication status
- published
- keywords
- Anastomosis, Surgical, Drainage/adverse effects, Esophageal Diseases/surgery, Esophagectomy/methods, Female, Humans, Length of Stay, Male, Pneumothorax/etiology, Prospective Studies, Pulmonary Atelectasis/etiology
- in
- British Journal of Surgery
- volume
- 85
- issue
- 8
- pages
- 4 pages
- publisher
- Oxford University Press
- external identifiers
-
- scopus:0031828458
- pmid:9718016
- ISSN
- 0007-1323
- language
- English
- LU publication?
- yes
- id
- 02f748f3-c9bc-4c94-a7d7-c1ad544306aa
- alternative location
- https://bjssjournals.onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2168.1998.00778.x?sid=nlm%3Apubmed
- date added to LUP
- 2019-08-18 12:05:36
- date last changed
- 2025-01-09 20:49:57
@article{02f748f3-c9bc-4c94-a7d7-c1ad544306aa,
abstract = {{<p>BACKGROUND: This study evaluates the efficiency and safety of two methods of chest drainage after uncomplicated oesophagectomy.</p><p>METHODS: A prospective randomized study between active suction drainage and passive chest drainage was carried out in 101 patients who underwent gastric pull-up oesophagectomy.</p><p>RESULTS: No difference in the prevalence of pneumothorax during treatment was noted between the active (nine of 55) and the passive (four of 46) drainage groups (P=0.20). Nor was there any difference in the size (P=0.46) and duration (P=0.53) of the pneumothorax. There was no significant difference in right (P=0.84) and left (P=0.61) basal atelectases and the amounts of right (P=0.10) and left (P=0.24) pleural effusions. There were significantly more basal atelectases (P < 0.001) and pleural effusions (P<0.001) in the non-operated left side compared with the operated right side. Postoperative hospital stay was the same in both groups (median 13 days; P=0.86). The hospital mortality rate was two of 101, and was not affected by the type of drainage.</p><p>CONCLUSION: Passive drainage did not reduce hospital stay, but was as safe and effective as the active system in draining the pleural cavity after uncomplicated oesophagectomy.</p>}},
author = {{Johansson, J and Lindberg, C G and Johnsson, F and von Holstein, C S and Zilling, T and Walther, B}},
issn = {{0007-1323}},
keywords = {{Anastomosis, Surgical; Drainage/adverse effects; Esophageal Diseases/surgery; Esophagectomy/methods; Female; Humans; Length of Stay; Male; Pneumothorax/etiology; Prospective Studies; Pulmonary Atelectasis/etiology}},
language = {{eng}},
number = {{8}},
pages = {{6--1143}},
publisher = {{Oxford University Press}},
series = {{British Journal of Surgery}},
title = {{Active or passive chest drainage after oesophagectomy in 101 patients : a prospective randomized study}},
url = {{https://bjssjournals.onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2168.1998.00778.x?sid=nlm%3Apubmed}},
volume = {{85}},
year = {{1998}},
}