Early chest tube removal after video-assisted thoracoscopic wedge resection of the lung Louis Russo, MD, Robert J Wiechmann, MD, James A Magovern, MD,

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Presentation transcript:

Early chest tube removal after video-assisted thoracoscopic wedge resection of the lung Louis Russo, MD, Robert J Wiechmann, MD, James A Magovern, MD, Gary W Szydlowski, MD, Michael J Mack, MD, Keith S Naunheim, MD, Rodney J Landreneau, MD The Annals of Thoracic Surgery Volume 66, Issue 5, Pages 1751-1754 (November 1998) DOI: 10.1016/S0003-4975(98)00946-1

Fig 1 Computed tomographic scan showing indeterminate peripheral pulmonary nodule in the left lung. The Annals of Thoracic Surgery 1998 66, 1751-1754DOI: (10.1016/S0003-4975(98)00946-1)

Fig 2 Computed tomographic scan showing deep indeterminate pulmonary nodule in the right lung. This type of lesion is often not amenable to video-assisted thoracoscopic surgical wedge resection. The Annals of Thoracic Surgery 1998 66, 1751-1754DOI: (10.1016/S0003-4975(98)00946-1)

Fig 3 Computed tomographic scan showing extensive infiltrative pulmonary lesion in the right lung. Because of induration and loss of visceral pleural integrity this patient would not be considered for early chest tube removal after video-assisted thoracoscopic surgical wedge resection. The Annals of Thoracic Surgery 1998 66, 1751-1754DOI: (10.1016/S0003-4975(98)00946-1)

Fig 4 Computed tomographic scan showing diffuse interstitial lung disease. The Annals of Thoracic Surgery 1998 66, 1751-1754DOI: (10.1016/S0003-4975(98)00946-1)

Fig 5 Chest tube duration. The early removal group had their chest tubes removed within 90 minutes of operation. The traditional management group had their chest tubes maintained an average of 1.8 days on suction and 1.3 days on water seal. The Annals of Thoracic Surgery 1998 66, 1751-1754DOI: (10.1016/S0003-4975(98)00946-1)