Szántó Zoltán, Kovács Ottó
Jász-Nagykun-Szolnok Megyei Hetényi Géza Kórház és Rendelőintézet, Sebészeti Osztály,Szolnok Tószegi.
Magy Seb. 2012 Feb;65(1):19-23. doi: 10.1556/MaSeb.65.2012.1.4.
persistent air leak is one of the major complications following pulmonary resections and, in combination with immobilization, it increases the cost of treatment significantly.
Authors analyzed retrospectively data of 40 consecutive patients of a thoracic surgical unit between 01. March 2011 and 30. October 2011. The mean age of 22 men and 18 women was 61.6 years. They applied electronic chest drainage system for all patients after open or VATS wedge resections or lobectomies. Drains were removed according to the electronical drainage data.
After open wedge resections the drainage time was 57 hours, and 6.2 days of hospital stay. Open lobectomies resulted in 59.8 hours drainage time and 6.8 days of hospital stay. VATS wedge resections were followed by 75.2 hours drainage and 5 days of hospital stay, while VATS lobectomies needed 48 hours duration of chest tubing and 4.5 days of in-patient stay.
Electronic chest drainage systems are easy-to-use, portable and safe, offering objective data of the amount of postoperative air leak, and visualize the trends in graphical format, too. Importantly, early mobilization contributes to cost reduction. In combination with VATS technique surgical stress is significantly reduced as well as postoperative recovery is shortened.
持续性漏气是肺切除术后的主要并发症之一，并且与制动相结合，会显著增加治疗成本。
作者回顾性分析了2011年3月1日至2011年10月30日期间一个胸外科连续40例患者的数据。22名男性和18名女性的平均年龄为61.6岁。在进行开胸或电视辅助胸腔镜手术（VATS）楔形切除或肺叶切除术后，所有患者均使用电子胸腔引流系统。根据电子引流数据拔除引流管。
开胸楔形切除术后引流时间为57小时，住院时间为6.2天。开胸肺叶切除术后引流时间为59.8小时，住院时间为6.8天。VATS楔形切除术后引流75.2小时，住院5天，而VATS肺叶切除术后胸腔引流管留置时间为48小时，住院4.5天。
电子胸腔引流系统使用方便、便于携带且安全，可提供术后漏气量的客观数据，并以图形形式直观显示趋势。重要的是，早期活动有助于降低成本。与VATS技术相结合，手术应激显著降低，术后恢复也得以缩短。
