Management and Progress of Pneumothorax and Pulmonary Air Leak After Lung Resection
Advances in Surgical Sciences
Volume 6, Issue 2, December 2018, Pages: 56-61
Received: Jul. 31, 2018;
Accepted: Aug. 27, 2018;
Published: Sep. 29, 2018
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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
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.
Management and Progress of Pneumothorax and Pulmonary Air Leak After Lung Resection, Advances in Surgical Sciences.
Vol. 6, No. 2,
2018, pp. 56-61.
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