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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.

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author
; ; ; ; and
organization
publishing date
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
2024-01-01 17:36:47
@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 &lt; 0.001) and pleural effusions (P&lt;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}},
}