Liman Serife Tuba, Elicora Aykut, Akgul Aslı Gul, Topcu Salih, Ozbay Serkan, Mehmetoğlu Seymur Salih, Sezer Fatih, Koska Can, Ilgazli Ahmet
Thoracic Surgery Department, Faculty of Medicine, Kocaeli University, Umuttepe Campus, 41380, Izmit, Kocaeli, Turkey,
Surg Today. 2014 May;44(5):834-8. doi: 10.1007/s00595-013-0759-2. Epub 2013 Oct 26.
Chest tubes are used for drainage of the pleural cavity. Traditionally, large-bore catheters are inserted for all indications, but there has been a recent tendency to use small-bore catheters. We share the results of our experience of using small-bore catheters for almost all indications routinely in our clinic.
A collective total of 309 small-bore chest catheters (10 F) were inserted via the Seldinger technique in 287 patients during a 5-year-period. Malignant pleural effusion and pneumothorax were the most common indications for chest tube insertion.
The mean catheter duration was 5.6 days, being 5 days for pneumothorax and 6 days for malignant pleural effusion. Pleurodesis was performed effectively for malignant pleural effusions. In this series, the failure rate of small-bore catheters was 7.2 %.
Based on our clinical experience of using small-bore catheters, we believe that they are potentially effective for almost all pleural pathologies. Our results concur with those in the literature, but this series also includes different pleural diseases requiring chest tube insertion.
胸腔引流管用于胸腔引流。传统上，对于所有适应证均插入大口径导管，但最近有使用小口径导管的趋势。我们分享在我们诊所几乎对所有适应证常规使用小口径导管的经验结果。
在5年期间，通过Seldinger技术在287例患者中总共插入了309根小口径胸腔导管（10F）。恶性胸腔积液和气胸是胸腔置管最常见的适应证。
导管平均留置时间为5.6天，气胸为5天，恶性胸腔积液为6天。对恶性胸腔积液进行胸膜固定术有效。在本系列中，小口径导管的失败率为7.2%。
基于我们使用小口径导管的临床经验，我们认为它们对几乎所有胸膜疾病可能有效。我们的结果与文献中的结果一致，但本系列还包括需要胸腔置管的不同胸膜疾病。
