Active or passive chest drainage after oesophagectomy in 101 patients: a prospective randomized study

Johansson, Jan; Lindberg, C.-G.; Johnsson, Folke; Holstein, Christer Staël von; Zilling, Thomas; Walther, Bruno

doi:10.1046/j.1365-2168.1998.00778.x

Cited by 14 publications

(10 citation statements)

References 6 publications

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“…In patients who underwent esophagectomy, active (15 cm water) suction and passive drainage were compared in one report. 9 There was no difference in the prevalence of pneumothorax, nor was there any difference in the size and duration of the pneumothorax. It was concluded that passive drainage was as safe and effective as the active system in draining the pleural cavity after esophagectomy.…”

Section: Discussionmentioning

confidence: 82%

“…Whether active suction to chest drains is needed after thoracic procedures has not been adequately studied. In patients who underwent esophagectomy, active (15 cm water) suction and passive drainage were compared in one report 9 . There was no difference in the prevalence of pneumothorax, nor was there any difference in the size and duration of the pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

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Pleural drainage after transthoracic esophagectomy: experience with a vacuum system

Law

Boey

Kwok

et al. 2004

Diseases of the Esophagus

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Conventional pleural cavity drainage after esophagectomy involves one to two large-bore drainage tubes connected to underwater bottles. The purpose of this study is to evaluate the use of a small mobile vacuum drainage system. Out of 173 patients who underwent transthoracic esophagectomy, 167 (97%) had the vacuum drain successfully placed at the end of the operation. Of those, use of the vacuum drain was uneventful for 131 until its removal (78%). Air leaks necessitating connection to underwater drainage occurred in 34 patients (20%), but in 26 of them this was only temporary. Overall success was therefore achieved in 157 patients (94%). Median in-situ placement of the vacuum drain was 4 days, and 85% of patients had their drains removed by the seventh postoperative day. The presence of lung adhesions significantly increased the need for underwater drainage. Postoperative outcomes were no different from a historical cohort with conventional underwater drainage. No drain-related complications were reported. The vacuum drain is an alternative to the conventional, large-bore, chest tube system after transthoracic esophagectomy.

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Section: Discussionmentioning

confidence: 82%

Section: Discussionmentioning

confidence: 99%

Pleural drainage after transthoracic esophagectomy: experience with a vacuum system

Law

Boey

Kwok

et al. 2004

Diseases of the Esophagus

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“…However, esophagectomy usually involves an extensive thoracic procedure, and temporary chest drainage still is considered necessary to prevent pulmonary compression by accumulation of air or fluid . Although direct evidence is lacking for esophagectomy, literature on open pulmonary surgery suggests that the use of a single drain is safe and that drains can be removed when producing less than 200 mL per day . However, owing to the sparsity of literature specifically addressing chest drainage after esophagectomy, postoperative drainage protocols vary widely, and more research is needed to achieve consensus.…”

Section: Enhanced Recovery After Esophagectomy In the Postoperative Smentioning

confidence: 99%

Surgical treatment of esophageal cancer in the era of multimodality management

Borggreve

Kingma

Домрачев

et al. 2018

Annals of the New York Academy of Sciences

118

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Over the last decades, the treatment of resectable esophageal cancer has evolved into a multidisciplinary process in which all players are essential for treatment to be successful. Medical oncologists and radiation oncologists have been increasingly involved since the implementation of neoadjuvant therapy, which has been shown to improve survival. Although esophagectomy is still considered the cornerstone of curative treatment for locally advanced esophageal cancer, it remains associated with considerable postoperative morbidity, despite promising results of minimally invasive techniques. In this light, both physical status and response to neoadjuvant therapy may be important factors for selecting patients who will benefit from surgery. Furthermore, it is important to optimize the entire perioperative trajectory: from the initial outpatient clinic visit to postoperative discharge. Enhanced recovery after surgery is increasingly recognized for esophagectomy and emphasizes perioperative aspects, such as nutrition, physiotherapy, and pain management. To date, several facets of esophageal cancer treatment remain topics of debate, such as the preferred neoadjuvant treatment, anastomotic technique, extent of lymphadenectomy, organization of postoperative care, and the role of surgery beyond locally advanced disease. Here, we describe the current and future perspectives in the surgical treatment of patients with esophageal cancer in the context of the available literature.

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“…107 A cardiac RCT found removing drains at 24 hours rather than 48 hours to be equivalent, with trends toward improved pain and ventilation. 115 Transabdominal chest drainage has been described in 2 cohort studies, although both had relatively high rates of reaccumulation requiring intervention. 111 Method of Drainage.…”

Section: Chest Drainsmentioning

confidence: 99%

Enhanced Recovery for Esophagectomy

Findlay

Gillies

Millo³

et al. 2014

Annals of Surgery

220

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Active or passive chest drainage after oesophagectomy in 101 patients: a prospective randomized study

Abstract: 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.

Cited by 14 publications

References 6 publications

Pleural drainage after transthoracic esophagectomy: experience with a vacuum system

Pleural drainage after transthoracic esophagectomy: experience with a vacuum system

Surgical treatment of esophageal cancer in the era of multimodality management

Enhanced Recovery for Esophagectomy

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