Is closed thoracic drainage tube necessary for minimally invasive thoracoscopic-esophagectomy?

Li, Yan; Wang, Wenbin; Guo, Man; Lian, Xiao; Xiao, Shuao; Xu, Guanghui; Yang, Xuewen; Sun, Li; Zhang, Hongwei

doi:10.21037/jtd.2018.02.59

Cited by 6 publications

(6 citation statements)

References 17 publications

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“…The use of closed thoracic drainage tubes after esophageal cancer surgery has been shown to aid in the removal of extra uid and gas, promote lung lobe recruitment, and reduce the risk of postoperative lung infections. However, the conventional wisdom has been to use thicker diameter drainage tubes to improve drainage effectiveness 10,11 . In this section, we will discuss recent research on the use of central venous catheters for thoracic drainage, including their advantages, disadvantages, and potential complications 12 .…”

Section: Discussionmentioning

confidence: 99%

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

Zhao

Bai

et al. 2023

Preprint

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Background To compare the effectiveness and safety of central venous catheter thoracic drainage (CVC-TD) with traditional closed thoracic drainage (TCTD) after minimally invasive surgery for esophageal cancer. Methods We conducted a retrospective study of 103 patients who underwent minimally invasive surgery for esophageal cancer at our institution between January 2017 and December 2019. Forty-four patients received CVC-TD, while 59 patients received TCTD. We compared the following outcomes between the two groups: drainage volume, drainage duration, incidence of postoperative complications (including pleural effusion, pneumonia, and atelectasis), length of hospital stays, and overall survival. Results The drainage volume and duration were similar between the two groups. However, the incidence of postoperative complications was significantly lower in the CVC-TD group than in the TCTD group (p < 0.05). The length of hospital stay was also shorter in the CVC-TD group (p < 0.05). There was no significant difference in overall survival between the two groups. Conclusion CVC-TD is a safe and effective alternative to TCTD after minimally invasive surgery for esophageal cancer. It may help reduce the incidence of postoperative complications and shorten the length of hospital stay. Further studies are needed to confirm these findings.

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Section: Discussionmentioning

confidence: 99%

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

Zhao

Bai

et al. 2023

Preprint

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“…Comparing the use of single versus two chest drains after oesophagectomy, retrospective studies 50–52 have suggested equivalence in terms of respiratory complications, but a reduction in pain scores with fewer drains 50 , 51 . Similarly, transhiatal drain placement may result in lower pain scores and analgesia use 52–54 , without any significant differences in respiratory or other complications.…”

Section: Resultsmentioning

confidence: 99%

Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)/Perioperative Quality Initiative (POQI) consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after oesophagectomy

Singh

Gossage

Markar

et al. 2022

British Journal of Surgery

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Background Pulmonary complications are the most common morbidity after oesophagectomy, contributing to mortality and prolonged postoperative recovery, and have a negative impact on health-related quality of life. A variety of single or bundled interventions in the perioperative setting have been developed to reduce the incidence of pulmonary complications. Significant variation in practice exists across the UK. The aim of this modified Delphi consensus was to deliver clear evidence-based consensus recommendations regarding intraoperative and postoperative care that may reduce pulmonary complications after oesophagectomy. Methods With input from a multidisciplinary group of 23 experts in the perioperative management of patients undergoing surgery for oesophageal cancer, a modified Delphi method was employed. Following an initial systematic review of relevant literature, a range of anaesthetic, surgical, and postoperative care interventions were identified. These were then discussed during a two-part virtual conference. Recommendation statements were drafted, refined, and agreed by all attendees. The level of evidence supporting each statement was considered. Results Consensus was reached on 12 statements on topics including operative approach, pyloric drainage strategies, intraoperative fluid and ventilation strategies, perioperative analgesia, postoperative feeding plans, and physiotherapy interventions. Seven additional questions concerning the perioperative management of patients undergoing oesophagectomy were highlighted to guide future research. Conclusion Clear consensus recommendations regarding intraoperative and postoperative interventions that may reduce pulmonary complications after oesophagectomy are presented.

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“…The postoperative employment of closed thoracic drainage tubes in esophageal cancer surgeries has been substantiated to aid in the expulsion of extraneous fluid and gas, invigorate lung lobe recruitment, and mitigate the probability of subsequent pulmonary infections. Despite this, conventional wisdom advocates for the application of broader diameter drainage tubes to augment the proficiency of drainage [ 12 , 13 ]. Our investigation has uncovered numerous merits of adopting a Central Venous Catheter (CVC) for thoracic drainage in patients subjected to minimally invasive esophageal cancer surgery instead of traditional closed thoracic drainage.…”

Section: Discussionmentioning

confidence: 99%

Comparison of central venous catheter thoracic drainage and traditional closed thoracic drainage following minimally invasive surgery for esophageal carcinoma: a retrospective analysis

Zhao,

Ma,

Bai

et al. 2023

J Cardiothorac Surg

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Objective To compare the effectiveness and safety of central venous catheter thoracic drainage (CVCTD) with traditional closed thoracic drainage (TCTD) after minimally invasive surgery for esophageal cancer. Methods We conducted a retrospective investigation of 103 patients who underwent minimally invasive esophageal cancer surgery at our institution between January 2017 and December 2019. Among them, 44 patients underwent CVCTD, while 59 received TCTD. We compared the following outcomes between the two cohorts: drainage volume, duration of drainage, postoperative complications (including pleural effusion, pulmonary infection, atelectasis, anastomotic leakage, etc.), length of hospital stay, and postoperative pain assessment. Results No significant differences were observed between the experimental and control groups regarding postoperative thoracic drainage, the timing of postoperative tube removal, or postoperative complications. However, significant disparities were noted in the duration of postoperative hospitalization, drainage tube healing time, and pain threshold among the esophageal cancer patients in both cohorts (p < 0.05). Conclusion CVCTD is a secure and potent alternative to TCTD following minimally invasive surgery for esophageal carcinoma. It potentially contributes to reducing the incidence of postoperative complications while curtailing the duration of hospitalization. Additional research is warranted to substantiate these findings.

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Is closed thoracic drainage tube necessary for minimally invasive thoracoscopic-esophagectomy?

Cited by 6 publications

References 17 publications

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

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

Association of Upper Gastrointestinal Surgery of Great Britain and Ireland (AUGIS)/Perioperative Quality Initiative (POQI) consensus statement on intraoperative and postoperative interventions to reduce pulmonary complications after oesophagectomy

Comparison of central venous catheter thoracic drainage and traditional closed thoracic drainage following minimally invasive surgery for esophageal carcinoma: a retrospective analysis

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