Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Outpatient Treatment for Pneumothorax Using a Portable Small-Bore Chest Tube: A Clinical Report

  • Woo, Won Gi (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Joo, Seok (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Lee, Geun Dong (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Haam, Seok Jin (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine) ;
  • Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Gangnam Severance Hospital, Yonsei University School of Medicine)
  • Received : 2015.08.17
  • Accepted : 2015.10.01
  • Published : 2016.06.05
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Abstract

Background: For treatment of pneumothorax in Korea, many institutions hospitalize the patient after chest tube insertion. In this study, a portable small-bore chest tube (Thoracic Egg; Sumitomo Bakelite Co. Ltd., Tokyo, Japan) was used for pneumothorax management in an outpatient clinic. Methods: Between August 2014 and March 2015, 56 pneumothorax patients were treated using the Thoracic Egg. Results: After Thoracic Egg insertion, 44 patients (78.6%) were discharged from the emergency room for follow-up in the outpatient clinic, and 12 patients (21.4%) were hospitalized. The mean duration of Thoracic Egg chest tube placement was 4.8 days, and the success rate was 73%; 20% of patients showed incomplete expansion and underwent video-assisted thoracoscopic surgery. For primary spontaneous pneumothorax patients, the success rate of the Thoracic Egg was 76.6% and for iatrogenic pneumothorax, it was 100%. There were 2 complications using the Thoracic Egg. Conclusion: Outpatient treatment of pneumothorax using the Thoracic Egg could be a good treatment option for primary spontaneous and iatrogenic pneumothorax.

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References

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