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KMID : 0364020070400040292
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Korean Journal of Thoracic and Cardiovascular Surgery
2007 Volume.40 No. 4 p.292 ~ p.296
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Treatment of Primary Spontaneous Pneumothorax Using a Commercialized 8-French Catheter (Pleuracanⓡ)
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Park Jung-Sik
Lee Jae-Ik
Hwang Yeo-Ju
Park Kook-Yang
Park Chul-Hyun
Jeon Yang-Bin
Choi Chang-Hyu
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Abstract
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Background: This retrospective study was undertaken to assess the effectiveness of the 8-French (Fr) catheter (Pleuracanⓡ) for the initial treatment of primary spontaneous pneumothorax.
Materials & Methods: 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ⓡ group).
Results: Initially, the Pleuracanⓡ 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ⓡ catheter for the initial treatment of primary spontaneous pneumothorax was as effective as the large bore chest tube.
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KEYWORD
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Pneumothorax, Catheter, Thoracostomy
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