ArticleSurgery today2024
Postoperative management using a digital drainage system for massive air leakage after pulmonary resection.
Article in Surgery today, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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2 citing papers in PubMed, 5 citations in OpenAlex.
- The evolution of chest tube management following lung cancer surgery: many options, scarce evidence.Translational lung cancer research · 2025Review
- Supraventricular Tachycardia Induced by Mediastinal Irritation From a Chest Tube: A Rare and Overlooked Complication.Cureus · 2025Article
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Authors and funding
6 authors at 1 institution in 1 country.
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Abstract
purposeTo elucidate clinical outcomes using a digital drainage system (DDS) for massive air leakage (MAL) after pulmonary resection.
methodsA total of 135 consecutive patients with pulmonary resection air leakage of > 100 ml/min on the DDS were evaluated retrospectively. In this study, MAL was defined as ≥ 1000 ml/min on the DDS. We analyzed the clinical characteristics and surgical outcomes of patients with MAL compared with non-MAL (101-999 ml/min). Using the DDS data, the duration of the air leak was plotted with the Kaplan‒Meier method and compared using the log-rank test.
resultsMAL was detected in 19 (14%) patients. The proportions of heavy smokers (P = 0.04) and patients with emphysematous lung (P = 0.03) and interstitial lung disease (P < 0.01) were higher in the MAL group than in the non-MAL group. The MAL group had a higher persistence rate of air leakage at 120 h after surgery than the non-MAL group (P < 0.01) and required significantly more frequent pleurodesis (P < 0.01). Drainage failure occurred in 2 (11%) and 5 (4%) patients from the MAL and non-MAL groups, respectively. Neither reoperation nor 30-day surgical mortality was observed in patients with MAL.
conclusionsMAL was able to be treated conservatively without surgery using the DDS.
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