Catheter Thoracostomy: Our 5 Years of Clinical Experience

Abstract

Background: It was aimed to retrospectively examine the data of patients who underwent catheter thoracostomy to determine their demographic and clinical characteristics and to evaluate the effectiveness of the procedure.
Materials and Methods: We retrospectively evaluated 613 catheter thoracostomy procedures performed at the Health Practice and Research Center between January 1, 2013 and December 31, 2017.
Results: Five hundred and sixty-seven (92.5%) were unilateral and 46 (7.5%) were bilateral catheter thoracostomy. Three hundred and seventy-seven (61.5%) procedures were performed on male patients and 236 (38.5%) procedures were performed on female patients. The mean age was 68 ± 16 (13-105 years old). The operation indications were 202 (33%) thoracic malignancies, 98 (16%) extrathoracic malignancies, and benign pathologies in 313 (51%) patients.
Conclusions: Catheter thoracostomy procedure is being used more and more every day in the treatment of pleural effusions due to patient comfort, ease of application and low cost.

Key Words: Effusion, Catheter thoracostomy, Pleura

Keywords

• Efüzyon
• kateter torakostomi
• plevra

Katater Torakostomi: 5 Yıllık Klinik Deneyimimiz

Abstract

Amaç: Kateter torakostomi uygulanan hastaların verilerini retrospektif olarak inceleyerek demografik ve klinik özelliklerini belirlemek ve işlemin etkinliği ile ilgili değerlendirmelerde bulunmak amaçlandı.
Materyal ve Metod: 1 Ocak 2013- 31 Aralık 2017 tarihleri arasında Sağlık Uygulama ve Araştırma Merkezinde uygulanan 613 adet kateter torakostomi işlemini retrospektif olarak değerlendirdik.
Bulgular: Beş yüz altmış yedi (%92.5)’si unilateral, 46 (%7.5)’sı ise bilateral kateter torakostomi idi. Üç yüz yetmiş yedi (%61.5) işlem erkek hastalara, 236 (%38.5) işlem ise kadın hastalara yapıldı. Ortalama yaş 68±16 (13-105 yaş aralığında) idi. İşlem endikasyonları ise 202 (%33) torasik malignensiler, 98 (%16) ekstratorasik malignensiler, 313 (%51) hastada ise benign patolojilerdi.
Sonuç: Kateter torakostomi işlemi plevra efüzyonların tedavisinde hasta konforu, uygulama kolaylığı ve düşük maliyet nedeniyle her geçen gün daha fazla kullanılmaktadır.

Anahtar kelimeler: Efüzyon, Kateter torakostomi, Plevra

Keywords

• Effusion
• catheter thoracostomy
• pleura

References

1. References 1. Liman ŞT, Eliçora A, Akgül AG, Topcu S, Özbay S, Mehmetoğlu SS, et al. Is A Small-Bore Catheter Efficient For Most Pleural Pathologies?. Surg Today 2014;44:834-838.
2. 2. Light RW. Pleural controversy: Optimal chest tube size for drainage. Respirology 2011;16:244-248.
3. 3. Cooke DT, David EA. Large-Bore and Small Bore Chest Tubes Types, Function, and Placement. Thorac Surg Clin 2013;23:17-24.
4. 4. Öztürk CA. Small-Bore Thoracic Catheters. Plevra Bülteni 2012;6(1):10-14.
5. 5. Cho S, Lee EB. Management of primary and secondary pneumothorax using a small-bore thoracic catheter. Interact CardioVasc Thorac Surg 2010;11:146-9.
6. 6. Ayan E, Köksel MO, Bayülgen A, Arslan B. Küçük çaplı plevral kateter uygulamalarımız: 325 olgunun analizi. Mersin Üniv Sağlık Bilim Derg 2020;13:126-131.
7. 7. Özsoy İE, Tezcan MA. A Thorough View of Tube Thoracostomy, The Most Common Surgical Procedure Performed by Thoracic Surgery Clinics: Ten Years' Clinical Experience. JAMER 2019;4(3):76-81.
8. 8. Marel M. Epidemiology of pleural effusion. Eur Respir Mon 2002;22:146-56.

9. 9. Light RW, Rogers JT, Moyers JP, Lee GC, Rodriguez RM, Alford WC et al. Prevalence and clinical course of pleural effusions at 30 days after coronary artery and cardiac surgery. Am J Respir Crit Care Med 2002;166: 1567-71.
10. 10. Kochanek KD, Murphy SL, Xu J, Arias E.National vital statistics. Deaths: Final Data for 2017. Available from: https://www.cdc.gov/nchs/data/nvsr/nvsr68/nvsr68_09-508.pdf
11. 11. Light RW, ed. Pleural Effusion Due to Miscellaneous Diseases in Pleural Diseases. 4th ed. Philadelphia: Lippincott Williams and Wilkins, 2002.
12. 12. Putnam JB, Garrett LW, Swisher SG, Roth JA, Suell DM, Vaporciyan AA et al. Outpatient management of malignant pleural efusion by a chronic indwelling pleural catheter. Ann Thorac Surg 2000;69:369-75.
13. 13. Asopa S, Patel A. Bonnano’s catheter: A less invasive and cost-effective alternative for drainage of pleural effusion. J Thorac Cardiovasc Surg 2006;132:1503-4.
14. 14. Keeling N, Leong S, Logan PM, Lee MJ. Empyema and Effusion: Outcome of Image-Guided Catheter Drainage. Cardiovasc Intervent Radiol 2008;31:135-41.
15. 15. Filosso PL, Guerrera F, Sandri A, Roffinella M, Solidoro P, Ruffini E, et al. Errors and Complications in Chest Tube Placement. Thorac Surg Clin 2017;27:57-67.
16. 16. Hallifax RJ, Psallidas I, Rahman NM. Chest Drain Size: The Debate Continues. Curr Pulmonol Rep 2017;6:26-9.
17. 17. Vetrugno L, Guadagnin GM, Barbariol F, D’Incà S, Delrio S, Girometti R, et al. Assesment of Pleural Effusion and Small Pleural Drain Insertion by Resident Doctors in an Intensive Care Unit: An Observational Study. Clinical Medicine Insights: Circulatory, Respiratory and Pulmonary Medicine 2019;13:1-10.