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Ann Thorac Surg 2005;80:1055
© 2005 The Society of Thoracic Surgeons

Original article: General thoracic

Invited commentary

M. Blair Marshall, MD

Department of Surgery, Thoracic Division, Georgetown University Hospital, 4 PHC, 3800 Reservoir Rd NW, Washington, DC 20007

(Email: mbm5@gunet.georgetown.edu).

The first 20% of the full text of this article appears below.

Prolonged air leaks after pulmonary resection are a source of frustration for both thoracic surgeons and their patients. For most, the day-to-day management of leaks is the management of chest tubes. The optimal management is a source of continued debate.

In general, two theories exist: (1) suction applied to chest tubes prolongs air leaks by increasing the amount of air escaping from the parenchyma, and (2) suction applied to chest tubes decreases the amount of residual space, promoting pleural . . . [Full Text of this Article]






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