Randomized Trial of an Improved Drainage Strategy Versus Routine Chest Tube After Lung Wedge Resection

Zhang, Jiatao; Dong, Song; Chu, Xiang‐Peng; Lin, Shaomin; Yu, Runying; Jiang, Ben‐Yuan; Liao, Ri-Qiang; Nie, Qiang; Yan, Hong‐Hong; Yang, Xue‐Ning; Wu, Yi‐Long

doi:10.1016/j.athoracsur.2019.11.029

Cited by 23 publications

(22 citation statements)

References 28 publications

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“…VAS scores in tubeless group were lower than drainage group in POD 1 and 3, they were comparable in POD 7, 30 and 60, which indicated that postoperative pain was mainly caused by chest tube placement (12,13) . Complications were rare in this series, pain was mild, patients in tubeless group might recover better.…”

Section: Discussionmentioning

confidence: 82%

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Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Liu

Yang

Sun

2020

Preprint

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Background: To investigate whether tubeless uniportal thoracoscopic wedge resection has better short-term outcomes than non-intubated approach with chest tube drainage.Methods: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Perioperative outcomes between two groups were compared. Results: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 minutes in tubeless group and 52.8 minutes in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. The postoperative pain VAS score was pain score was significantly lower in tubeless group in post-operative day 1 and 3. Side effects were rare and mild, including cough and hemoptysis. No reintervention or readmission occurred.Conclusions: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

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Section: Discussionmentioning

confidence: 82%

“…In tubeless group, the mean diameter of the lesions was 9.8 mm (7)(8)(9)(10)(11)(12)(13)(14). The locations of PPN included right upper lobe, right lower lobe, left upper lobe and left lower lobe.…”

Section: Resultsmentioning

confidence: 99%

Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Liu

Yang

Sun

2020

Preprint

View full text Add to dashboard Cite

show abstract

“…After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups (Table 1). In tubeless group, the mean diameter of the lesions was 9.8 mm (7)(8)(9)(10)(11)(12)(13)(14). The postoperative VAS score was signi cantly lower in tubeless group than in drainage group in postoperative day 1 and 3.…”

Section: Resultsmentioning

confidence: 90%

Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Liu

Yang

Sun

2020

Preprint

View full text Add to dashboard Cite

Background: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage.Methods: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. Results: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 minutes in tubeless group and 52.8 minutes in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group.Conclusions: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

show abstract

“…After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups (Table 1). In tubeless group, the mean diameter of the lesions was 9.8 mm (7)(8)(9)(10)(11)(12)(13)(14). The locations of PPN included right upper lobe, right lower lobe, left upper lobe and left lower lobe.…”

Section: Resultsmentioning

confidence: 99%

Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage

2020

View full text Add to dashboard Cite

Background To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage. Methods Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. Results After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 min in tubeless group and 52.8 min in drainage group. The detectable mean lowest SpO2 and mean peak EtCO2 during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group. Conclusions Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.

show abstract

Randomized Trial of an Improved Drainage Strategy Versus Routine Chest Tube After Lung Wedge Resection

Cited by 23 publications

References 28 publications

Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Tubeless Uniportal Thoracoscopic Wedge Resection with Modified Air Leak Test and Chest Tube Drainage

Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage

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