Volume 6, Issue 2, December 2018, Page: 56-61
Management and Progress of Pneumothorax and Pulmonary Air Leak After Lung Resection
Xie Shouzhi, Department of Cardiothoracic Surgery, the First Affiliated Hospital of University of South China, Hengyang, China
Chen Mingjiu, Department of Thoracic Surgery, the Second Xiangya Hospital of Central South University, Changsha, China
Received: Jul. 31, 2018;       Accepted: Aug. 27, 2018;       Published: Sep. 29, 2018
DOI: 10.11648/j.ass.20180602.13      View  326      Downloads  13
Abstract
Background: Pneumothorax and pulmonary air leakage (PAL) are common emergency and complication in the clinical department of thoracic surgery, the treatment measures of air leakage including observation of conservative, needle aspiration, chest tube drainage, surgical operation and pleurodesis. In the selection of treatment methods, there is not a unified and feasible standard to choose a reasonable, effective and economic therapeutic regimen. Inapposite treatment will prolong hospitalization days, increase cost, even may lead to a death. Therefore, Sorting out and summarizing the therapies is vitally important for clinical conduction. Method: We retrieved about 80 papers in Pubmed, Science Direct, and China How Net while searched "Pneumothorax" or "longer air leakage" And "treatment" as keywords or title in recent ten years, 40 reports have been reviewed. We summarize the selection and development of the treatments for pneumothorax and PAL. Conclusions: According to the cause, age, urgency and other symptoms, the clinician should take different treatment. The minimally invasive closed drainage will become a preference for the pneumothorax needing drainage, it may replace the traditional tube closed drainage. VATS will become the preferred treatment of pneumothorax with bubble. Autologous blood is a facilitate getting adhesive agents, its procedure is easy and safe with few complications, and it is also an economical method with a high success rate. However, it still needs further studies to taking the economical, effective, appropriate treatment for a special pneumothorax and postoperative lung air leak.
Keywords
Pneumothorax, Pulmonary Air Leak, Management
To cite this article
Xie Shouzhi, Chen Mingjiu, Management and Progress of Pneumothorax and Pulmonary Air Leak After Lung Resection, Advances in Surgical Sciences. Vol. 6, No. 2, 2018, pp. 56-61. doi: 10.11648/j.ass.20180602.13
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Reference
[1]
Gupta D, Hansell A, Nichols T, et al. Epidemiology of pneumothorax in England [J]. Thorax, 2000, 55 (8):666-671.
[2]
Zeybek A, Kalemci S, Gurunlu A O, et al. The Effect of Additional Pleural Procedures onto Recurrence Rates on the Spontaneous Pneumothorax Surgery [J]. Iran Red Crescent Med J, 2013, 15 (2):136-141.
[3]
Brunelli A, Monteverde M, Borri A, et al. Predictors of prolonged air leak after pulmonary lobectomy [J]. Ann Thorac Surg, 2004, 77 (4):1205-1210, 1210.
[4]
Zeng Dan, Tian Jinfang. Clinical Analysis Of 344 Cases Of Spontaneous Pneumothorax [J]. Clinical Lung J, 2009 (05):599-600.
[5]
Rivas De Andrés J J, Jiménez López M F, Molins López-Rodó L, et al. Guidelines for the Diagnosis and Treatment of Spontaneous Pneumothorax [J]. Archivos de Bronconeumología (English Edition), 2008, 44 (8):437-448.
[6]
Zehtabchi S, Rios C L. Management of Emergency Department Patients With Primary Spontaneous Pneumothorax: Needle Aspiration or Tube Thoracostomy? [J]. Annals of Emergency Medicine, 2008, 51 (1):91-100.
[7]
Chang S J, Ross S W, Kiefer D J, et al. Evaluation of 8.0-cm needle at the fourth anterior axillary line for needle chest decompression of tension pneumothorax [J]. J Trauma Acute Care Surg, 2014, 76 (4):1029-1034.
[8]
Hatch Q, Debarros M, Johnson E, et al. Standard laparoscopic trocars for the treatment of tension pneumothorax: a superior alternative to needle decompression [J]. J Trauma Acute Care Surg, 2014, 77 (1):170-175.
[9]
Feng YuanGang et al. Clinical Analysis Of 52 Cases Of Iatrogenic Pneumothorax [J]. J NingNan Emergency, 2007 (04):301-302.
[10]
Tang Zhiying. Analysis of Clinical Treatment of Pneumothorax By Central Venous Catheter [J]. China J Of Pharmaceutical Economics, 2012 (03):257-258.
[11]
Luo Rui. 14 Cases Of Neonatal Pneumothorax Be Cured by Intravenous Catheter Drainage [J]. Guide Of China Medicine, 2013 (20):522.
[12]
Chen C, Liao W, Liu Y, et al. Secondary spontaneous pneumothorax: which associated conditions benefit from pigtail catheter treatment [J]. The American Journal of Emergency Medicine, 2012, 30 (1):45-50.
[13]
Zhou Yi. Clinical Analysis Of Causes and Treatment Of Neonatal Pneumothorax [J]. Chinese Community Doctors, 2013 (07):81.
[14]
Xu WenJin, et al. The clinical observation of the treatment of pneumothorax by closed drainage of thoracic cavity with small tube [J]. Clinical Lung J, 2010 (05):634-635.
[15]
Han Huiyun,Wang Xinfang. A contrastive analysis of minimally closed drainage with pleurodesis for spontaneous pneumothorax [J]. China prac med, 2010 (03):127-128.
[16]
Zhang Peirong et al. The surgical treatment of recurrent and refractory pneumothorax [J]. J Weifang college med, 2007 (06):563.
[17]
Nwaejike N, Elbur E, Rammohan K S, et al. Should pregnant patients with a recurrent or persistent pneumothorax undergo surgery [J]. Interact Cardiovasc Thorac Surg, 2013, 17 (6):988-990.
[18]
Zhou Jia, et al. The surgical treatment of refractory pneumothorax with serious COPD [J]. chin J Clin Thorac Cardiovasc Surg, 2004, 11 (4):304-305.
[19]
Wang Jianli et al. 56 cases of VAMT and VATS for spontaneous pneumothorax [J]. Modern Journal of Integrated Traditional Chinese and Western Medicine, 2008 (19):2995-2996.
[20]
Yang Futao. Contrative analysis of thoracotomy and VATS for pneumothorax [J]. Guide of chin med, 2013 (02):246-247.
[21]
Morimoto T, Shimbo T, Noguchi Y, et al. Effects of timing of thoracoscopic surgery for primary spontaneous pneumothorax on prognosis and costs [J]. The American Journal of Surgery, 2004, 187 (6):767-774.
[22]
Ye Shugao, et al. The clinical use of VAMT for spontaneous pneumothorax [J]. JM ed Res, 2007 (04):110-111.
[23]
Ardo N P, Loizzi D, De Palma A, et al. Comparison of two surgical approaches for the treatment of primary spontaneous pneumothorax* [J]. G Chir, 2014, 35 (5-6):122-125.
[24]
Shun Xunxing, et al Surgical strategies for severe spontaneous pneumothorax (48 cases) [J]. Chin J of endoscopy, 2008 (06):589-591.
[25]
Andreetti C, D'Andrilli A, Ciccone A M, et al. Thoracoscopic water pleurectomy for the treatment of recurrent spontaneous pneumothorax [J]. Ann Thorac Surg, 2014, 97 (3):1088-1090.
[26]
Amin R, Noone P G, Ratjen F. Chemical pleurodesis versus surgical intervention for persistent and recurrent pneumothoraces in cystic fibrosis [J]. Cochrane Database Syst Rev, 2012, 12:D7481.
[27]
Muramatsu T, Shimamura M, Furuichi M, et al. Cause and Management of Recurrent Primary Spontaneous Pneumothorax After Thoracoscopic Stapler Blebectomy [J]. Asian Journal of Surgery, 2011, 34 (2):69-73.
[28]
Lee S, Park S Y, Bae M K, et al. Efficacy of Polyglycolic Acid Sheet After Thoracoscopic Bullectomy for Spontaneous Pneumothorax [J]. The Annals of Thoracic Surgery, 2013, 95 (6):1919-1923.
[29]
Uramoto H, Tanaka F. What is an appropriate material to use with a covering technique to prevent the recurrence of spontaneous pneumothorax [J]. J Cardiothorac Surg, 2014, 9 (1):74.
[30]
Wang yi. The pleurodesis with 50% glucose via tube drainage for spontaneous pneumothorax [J]. Chin J School Doctor, 2006 (01):76-77.
[31]
Lu Guangbing, Fang Hua. The pleurodesis with glucose for recurrent pneumothorax [J]. J military surgeon in Southwest chin, 2010 (02):283-284.
[32]
li Ying, et al. The treatment of recurrent pneumothorax with erythromycin [J]. Jianxi Med, 2005 (02):86-87.
[33]
Xie Jianfeng, et al. Clinical research of talc powder suspension pleurodesis on 50 cases with spontaneous pneumothorax [J]. Chin J of medicine, 2008 (12):1730-1731.
[34]
Wang Xiaoyin. 30 cases of 1‰ Silver nitrate pleuroclysis for spontaneous pneumothorax [J]. J Chin medicine of factory and mine, 2006 (03):217-218.
[35]
Luo Xianlin. 190 cases of closed tube drainage with thrombin for pneumothorax [J]. chin medic engineering, 2013 (02):164.
[36]
Robinson C L. Autologous blood for pleurodesis in recurrent and chronic spontaneous pneumothorax [J]. Can J Surg, 1987, 30 (6):428-429.
[37]
Athanassiadi K, Bagaev E, Haverich A. Autologous blood pleurodesis for persistent air leak [J]. Thorac Cardiovasc Surg, 2009, 57 (8):476-479.
[38]
Ozpolat B. Autologous blood patch pleurodesis in the management of prolonged air leak [J]. Thorac Cardiovasc Surg, 2010, 58 (1):52-54.
[39]
How C, Tsai T, Kuo S, et al. Chemical pleurodesis for prolonged postoperative air leak in primary spontaneous pneumothorax [J]. Journal of the Formosan Medical Association, (0).
[40]
Liu Ning, et al. Adjuvant treatment with brucea javanica oil emulsion in patient with tuberculous hydropeumothorax [J]. Infection inform, 2009 (05):311-313.
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