Comparison of Central Venous Catheter Thoracic Drainage with Traditional Closed Thoracic Drainage after Minimally Invasive Surgery for Esophageal Cancer: A Retrospective Study

Zhao, Yang; Ma, Yue; Bai, xia; Wang, Tao; Song, Dong Eun; Li, Tao

doi:10.21203/rs.3.rs-2648373/v1

Cited by 1 publication

(1 citation statement)

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“…Patients with severe anastomotic leakage had an extremely poor prognosis [37]. Several studies had reported that various methods of chest drainage following esophageal cancer surgery did not affect the incidence of anastomotic leakage [8][9][10][11]38]. This finding was consistent with our study, which showed that the incidence of postoperative anastomotic leakage in patients in the MD group was not statistically different from the other two groups.…”

Section: Discussionsupporting

confidence: 90%

Feasibility of utilizing mediastinal drains alone following esophageal cancer surgery: a retrospective study

Li,

Zhang,

Zhao

2024

World J Surg Onc

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Background It was typically necessary to place a closed thoracic drainage tube for drainage following esophageal cancer surgery. Recently, the extra use of thoracic mediastinal drainage after esophageal cancer surgery had also become more common. However, it had not yet been determined whether mediastinal drains could be used alone following esophageal cancer surgery. Methods A total of 134 patients who underwent esophageal cancer surgery in our department between June 2020 and June 2023 were retrospectively analyzed. Among them, 34 patients received closed thoracic drainage (CTD), 58 patients received closed thoracic drainage combined with mediastinal drainage (CTD-MD), while 42 patients received postoperative mediastinal drainage (MD). The general condition, incidence of postoperative pulmonary complications, postoperative NRS score, and postoperative anastomotic leakage were compared. The Mann-Whitney U tests, Welch’s t tests, one-way ANOVA, chi-square tests and Fisher’s exact tests were applied. Results There was no significant difference in the incidence of postoperative hyperthermia, peak leukocytes, total drainage, hospitalization days and postoperative pulmonary complications between MD group and the other two groups. Interestingly, patients in the MD group experienced significantly lower postoperative pain compared to the other two groups. Additionally, abnormal postoperative drainage fluid could be detected early in this group. Furthermore, there was no significant change in the incidence of postoperative anastomotic leakage and the mortality rate of patients after the occurrence of anastomotic leakage in the MD group compared with the other two groups. Conclusions Using mediastinal drain alone following esophageal cancer surgery was equally safe. Furthermore, it could substantially decrease postoperative pain, potentially replacing the closed thoracic drain in clinical practice.

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