Journal of Surgery and Trauma
نشریه جراحی و تروما
J Surg Trauma
Medical Sciences
http://jsurgery.bums.ac.ir
1
admin
2345-4873
2345-4873
en
jalali
1392
12
1
gregorian
2014
3
1
2
1
online
1
fulltext
en
Necessity of routine thoracostomy tube insertion after transhiatal esophagectomy
Necessity of routine thoracostomy tube insertion after transhiatal esophagectomy
عمومى
General
پژوهشي
Research
<p><b><span style="font-family:;">Introduction:</span></b><span style="font-family:;"> Transhiatal esophagectomy is a widely accepted approach for palliative resection of subcarinal esophageal cancers. This study was designed to evaluate the necessity of routine thoracostomy tube insertion in this technique.</span><font face="Times New Roman" size="3"> </font></p>
<p><b><span style="font-family:;">Methods:</span></b><span style="font-family:;"> This descriptive study was conducted on 123 consecutive patients with esophageal cancers undergoing transhiatal esophagectomy from March 2001 to February 2005. Chest tube insertion was performed according to our defined criteria. Thoracostomy tube would be inserted intraoperatively, if the estimated amount of bleeding was more than 200 ml. In patients with unilateral or bilateral diffuse haziness in chest-x-ray representative of considerable fluid collection, and symptomatic patients with each amount of pleural fluid, it would be inserted postoperatively. </span><font face="Times New Roman" size="3"> </font></p>
<p><b><span style="font-family:;">Results:</span></b><span style="font-family:;"> Thoracostomy tube was intraoperatively inserted in 41 cases (33.3%). Among other 82 patients only 19 cases (15.4%) required chest tube during admission period. There was significant relation between intraoperatively and postoperatively inserted thoracostomy tubes (p<0.001). There was no statistically relation between chest tube insertion and hospital mortality (p=0.71). The mortality rate didn’t show a significant relation with the amount of chest tube drainage (p=0.056).</span></p>
<p><b><span style="font-family:;">Conclusions:</span></b><span style="font-family:;"> Routine intraoperative chest tube insertion is not necessary for all patients following THE, and it should be limited to the patients with significant intrathoracic bleeding.</span><font face="Times New Roman" size="3"> </font></p>
Hageal cancer, Esophagectomy, Chest Tubes
12
16
http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-28-1&slc_lang=en&sid=1
Ali
Jangjoo
Ali
Jangjoo
jangjooa@mums.ac.ir
10031947532846003207
10031947532846003207
No
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mostafa
Mehrabi Bahar
Mostafa
Mehrabi Bahar
mehrabim@mums.ac.ir
10031947532846003208
10031947532846003208
No
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Leila
Mohajerzadeh
Leila
Mohajerzadeh
lmohajerzadeh@hotmail.com
10031947532846003209
10031947532846003209
No
Pediatric Surgery Research Center, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Pediatric Surgery Research Center, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Mohsen
Aliakbarian
Mohsen
Aliakbarian
aliakbarianm@mums.ac.ir
10031947532846003210
10031947532846003210
Yes
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Masoumeh
Nouri
Masoumeh
Nouri
noorym861@mums.ac.ir
10031947532846003211
10031947532846003211
No
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran
Mehdi
Jabbari Nooghabi
Mehdi
Jabbari Nooghabi
jabbarinm@yahoo.com
10031947532846003212
10031947532846003212
No
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, & Department of Statistics, Faculty of Mathematical Sciences, Ferdowsi University of Mashhad, Mashhad, Iran
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, & Department of Statistics, Faculty of Mathematical Sciences, Ferdowsi University of Mashhad, Mashhad, Iran