Application of Two Types of Chest Drainage in Patients after Lung Resection: A Case Controlled Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANGDe-ming ,  ZHAOJin-ping

Department of Thoracic and Cardiovascular Surgery, Zhongnan Hospital Affiliated to Wuhan University, Wuhan 430072, P. R. China;

Corresponding?author：

ZHAOJin-ping, Email: jpzhao@tjh.tjmu.edu.cn

Keywords：

Drainage; Chest drainage tube; Lung lobe; Resection

DOI：

10.7507/1007-4848.20160035

Video：

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Objective To compare and evaluate the application of two types of chest drainage in patients who had undergone the lung lobe resection. Method We retrospective analyzed the clinical data of 240 patients who underwent left lobe resection. The patients were divided into a single conventional drainage group with single chest drainage tube (normal group) and a single conventional drainage tube combined with drainage of disposable surgical negative pressure drainage ball (NPBD) (combination group). There were 140 patients including 86 males and 54 females at mean age of 48.76± 4.92 years in the normal group. There were 100 patients including 58 males and 42 females at mean age of 48.37± 4.56 years in the combination group. We compared the outcomes between the two groups. Result The postoperative pathological results revealed there were 12 patients with tuberculosis (TB), 87 patients with squamous carcinoma, and 41 patients with adenocarcinoma in the normal group; 5 patients with TB, 66 patients with squamous carcinoma, and 29 patients with adenocarcinoma in the combination group. There were statistical differences in postoperative hospital stay (11.35± 2.78 d vs. 9.33± 2.46 d), chest drainage tube indwelling time (6.75± 2.10 d vs. 8.28± 2.10 d), total volume of chest drainage (1 176.07± 384.62 ml vs. 926.50± 22.35 ml) with P values less than 0.001 between the normal group and the combination group. No statistical difference was found between the two groups in complications (P>0.05). Conclusion Single conventional drainage tube combined with drainage of disposable surgical negative pressure drainage ball (NPBD) has more advantages than single conventional chest drainage tube drainage, and is worth to be applied popularly in clinic.

Citation： ZHANGDe-ming, ZHAOJin-ping. Application of Two Types of Chest Drainage in Patients after Lung Resection: A Case Controlled Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(2): 156-159. doi: 10.7507/1007-4848.20160035 Copy

1.	黃平悅, 朱金陵.常規胸腔引流管聯合一次性負壓引流球管在胸外科手術中的應用.長江大學學報(自科版)醫學下旬刊, 2014, 11(2): 9-10.
2.	戴維, 馮飛躍, 王大力.肺葉切除術后單、雙胸腔引流管的臨床應用.臨床肺科雜志, 2013, 18(2): 327-329.
3.	吳鐵城, 張劍玲, 靳振生.負壓球細管引流在胸外科的臨床應用.中國胸心血管外科臨床雜志, 2010, 17(6): 529.
4.	高穎, 姜洋.一次性負壓引流球用于脊柱術后引流的效果觀察.中國現代藥物應用, 2010, 4(20): 79-80.
5.	戈峰, MingLui, 李琦, 主編.基礎胸外科學.北京:中國協和醫科大學出版社, 2003. 335.
6.	黃海濤, 陳少慕, 何靖康, 等.單根多孔胸腔引流管在單操作孔胸腔鏡上葉肺癌根治術的應用.江蘇醫藥, 2015, 41(3): 350-351.
7.	白傳明, 張楠, 郭楠, 等.肺上葉切除術后側胸壁置入雙引流管對殘腔閉合的影響.河北醫藥, 2009, 31(23): 3237-3238.
8.	唐歷, 周勇安.肺上葉切除術后胸腔上引流管的位置對殘腔閉合的影響.同濟大學學報(醫學版), 2004, 25(4): 303-304.
9.	張建東, 魏克壯, 曹勇, 等.肺切除術后支氣管胸膜瘺38例.中華胸心血管外科雜志, 2000, 16(4): 207.
10.	吳才, 章五一.單根多側孔長胸管引流在上肺葉切除術應用的臨床價值.中國廠礦醫學, 2006, 19(1): 12-13.
11.	Zhang Y, Li H, Hu B, et al. A prospective randomized single-blind control study of volume threshold for chest tube removal following lobectomy. World J Surg, 2014, 38(1): 60-67.
12.	Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
13.	戴維, 馮飛躍, 王大力.肺葉切除術后單、雙胸腔引流管的臨床應用.臨床肺科雜志, 2013, 18(2): 327-329.
14.	Alex J, Ansari J, Bahalkar P, et al. Comparison of the immediate postoperative outcome of using the conventional two drains versus a single drain after lobectomy. Ann Thorac Surg, 2003, 76(4): 1046-1049.
15.	Gomez-Caro A, Roca MJ, Torres J, et al. Successful use of a single chest drain postlobectomy instead of two classical drains: a randomized study. Eur J Cardiothorac Surg, 2006, 29(4): 562-566.
16.	Icard P, Chautard J, Zhang X, et al. A single 24F Blake drain after wedge resection or lobectomy: a study on 100 consecutive cases. Eur J Cardiothorac Surg, 2006, 30(4): 649-651.
17.	Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1) :32-36.
18.	Apostolakis EE, Baikoussis NG. Single or double drain after lung resections? Eur J Cardiothorac Surg, 2009, 36(2): 424-425.
19.	趙永生, 劉倫旭.肺葉切除術后胸腔引流的管理.中國胸心血管外科臨床雜志, 2013, 20(3): 338-342.
20.	白傳明, 張楠, 郭楠, 等.肺葉切除手術側胸壁置入雙引流管效果分析.中國誤診學雜志, 2011, 11(3): 542.
21.	Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med, 2000, 342(12): 868-874.
22.	Marshall MB, Deeb ME, Bleier JI, et al. Suction vs water seal after pulmonary resection: a randomized prospective study. Chest, 2002, 121(3): 831-835.
23.	Prokakis C, Koletsis EN, Apostolakis E, et al. Routine suction of intercostal drains is not necessary after lobectomy: a prospective randomized trial. World J Surg, 2008, 32(11): 2336-2342.
24.	姚祖仁, 章臣楠, 陸晨希.經胸食管手術中以負壓引流球管替代傳統胸腔閉式引流.江蘇醫藥, 1999, 25(9): 701.
25.	張素玲.食管癌、賁門癌術后負壓球細管引流臨床效果探討.中國全科醫學, 2005, 8(15): 1259-1260.
26.	吳鐵城, 張劍玲, 靳振生.負壓球細管引流在胸外科的臨床應用.中國胸心血管外科臨床雜志, 2010, 17(6): 529.
27.	馮彩婷, 熊云田, 李俊鵬, 等.負壓球細管引流在肺癌術中的臨床應用.現代腫瘤醫學, 2010, 18(6): 1128-1129.

1. 黃平悅, 朱金陵.常規胸腔引流管聯合一次性負壓引流球管在胸外科手術中的應用.長江大學學報(自科版)醫學下旬刊, 2014, 11(2): 9-10.
2. 戴維, 馮飛躍, 王大力.肺葉切除術后單、雙胸腔引流管的臨床應用.臨床肺科雜志, 2013, 18(2): 327-329.
3. 吳鐵城, 張劍玲, 靳振生.負壓球細管引流在胸外科的臨床應用.中國胸心血管外科臨床雜志, 2010, 17(6): 529.
4. 高穎, 姜洋.一次性負壓引流球用于脊柱術后引流的效果觀察.中國現代藥物應用, 2010, 4(20): 79-80.
5. 戈峰, MingLui, 李琦, 主編.基礎胸外科學.北京:中國協和醫科大學出版社, 2003. 335.
6. 黃海濤, 陳少慕, 何靖康, 等.單根多孔胸腔引流管在單操作孔胸腔鏡上葉肺癌根治術的應用.江蘇醫藥, 2015, 41(3): 350-351.
7. 白傳明, 張楠, 郭楠, 等.肺上葉切除術后側胸壁置入雙引流管對殘腔閉合的影響.河北醫藥, 2009, 31(23): 3237-3238.
8. 唐歷, 周勇安.肺上葉切除術后胸腔上引流管的位置對殘腔閉合的影響.同濟大學學報(醫學版), 2004, 25(4): 303-304.
9. 張建東, 魏克壯, 曹勇, 等.肺切除術后支氣管胸膜瘺38例.中華胸心血管外科雜志, 2000, 16(4): 207.
10. 吳才, 章五一.單根多側孔長胸管引流在上肺葉切除術應用的臨床價值.中國廠礦醫學, 2006, 19(1): 12-13.
11. Zhang Y, Li H, Hu B, et al. A prospective randomized single-blind control study of volume threshold for chest tube removal following lobectomy. World J Surg, 2014, 38(1): 60-67.
12. Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
13. 戴維, 馮飛躍, 王大力.肺葉切除術后單、雙胸腔引流管的臨床應用.臨床肺科雜志, 2013, 18(2): 327-329.
14. Alex J, Ansari J, Bahalkar P, et al. Comparison of the immediate postoperative outcome of using the conventional two drains versus a single drain after lobectomy. Ann Thorac Surg, 2003, 76(4): 1046-1049.
15. Gomez-Caro A, Roca MJ, Torres J, et al. Successful use of a single chest drain postlobectomy instead of two classical drains: a randomized study. Eur J Cardiothorac Surg, 2006, 29(4): 562-566.
16. Icard P, Chautard J, Zhang X, et al. A single 24F Blake drain after wedge resection or lobectomy: a study on 100 consecutive cases. Eur J Cardiothorac Surg, 2006, 30(4): 649-651.
17. Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1) :32-36.
18. Apostolakis EE, Baikoussis NG. Single or double drain after lung resections? Eur J Cardiothorac Surg, 2009, 36(2): 424-425.
19. 趙永生, 劉倫旭.肺葉切除術后胸腔引流的管理.中國胸心血管外科臨床雜志, 2013, 20(3): 338-342.
20. 白傳明, 張楠, 郭楠, 等.肺葉切除手術側胸壁置入雙引流管效果分析.中國誤診學雜志, 2011, 11(3): 542.
21. Sahn SA, Heffner JE. Spontaneous pneumothorax. N Engl J Med, 2000, 342(12): 868-874.
22. Marshall MB, Deeb ME, Bleier JI, et al. Suction vs water seal after pulmonary resection: a randomized prospective study. Chest, 2002, 121(3): 831-835.
23. Prokakis C, Koletsis EN, Apostolakis E, et al. Routine suction of intercostal drains is not necessary after lobectomy: a prospective randomized trial. World J Surg, 2008, 32(11): 2336-2342.
24. 姚祖仁, 章臣楠, 陸晨希.經胸食管手術中以負壓引流球管替代傳統胸腔閉式引流.江蘇醫藥, 1999, 25(9): 701.
25. 張素玲.食管癌、賁門癌術后負壓球細管引流臨床效果探討.中國全科醫學, 2005, 8(15): 1259-1260.
26. 吳鐵城, 張劍玲, 靳振生.負壓球細管引流在胸外科的臨床應用.中國胸心血管外科臨床雜志, 2010, 17(6): 529.
27. 馮彩婷, 熊云田, 李俊鵬, 等.負壓球細管引流在肺癌術中的臨床應用.現代腫瘤醫學, 2010, 18(6): 1128-1129.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of Two Types of Chest Drainage in Patients after Lung Resection: A Case Controlled Study

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