Application of tubless therapy in the treatment of pulmonary bulla resection_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAO Xiong ^1,2 ,  HAN Biao ¹ , MA Minjie ¹ , LIN Ruijiang ¹ , ZHANG Yu ¹

1. The First Hospital, Lanzhou University, Lanzhou, 730000, P.R.China;
2. First Clinical Medical College, Lanzhou University, Lanzhou, 730000, P.R.China;

Corresponding?author：

HAN Biao, Email: hanbiao66@163.com

Keywords：

Fast track surgery; tubless therapy; pulmonary bulla resection

DOI：

10.7507/1007-4848.201805009

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the efficacy of tubless therapy for pulmonary bulla resection under the concept of fast track surgery.Methods We retrospectively analyzed the clinical data of 45 patients (29 males and 16 females at an average age of 26.1 years) with pulmonary bullae in our hospital between January 2015 and December 2017. These patients were divided into two groups. Among them, 25 patients were treated with preoperative gastric tubes and catheters, tracheal intubation anesthesia and postoperative drainage tubes (a tube group). And 20 patients were treated with no preoperative gastric tube or catheter, sublaryngeal anesthesia and no postoperative drainage tube (a tubless group). Results There was a statistical difference in postoperative pain index (2.60±1.14 vs. 5.16±1.24, P<0.001) and larynx complication (P=0.00) between the two groups. Shorter period of epidural analgesic tubes (1.40±0.50 d vs. 2.84±0.75 d, P<0.001), shorter operation and anesthesia time (15.00±2.59 min vs. 18.56±2.10 min, P<0.001; 95.30±4.38 min vs. 105.50±4.59 min, P<0.001), shorter hospital stay (9.45±1.66 d vs. 12.80±1.87 d, P<0.001), and less expense (20 245.96±1 113.02 yuan vs. 22 147.06±1 735.01 yuan, P<0.001) in the tubless group were found compared with the tube group. But there was no statistical difference in incidence of complication of lung (P=0.43) between the two groups.Conclusion Tubless therapy in the treatment of pulmonary bulla resection can accelerate the postoperative recovery with shorter hospital stay and less expense, and is an advantageous treatment.

Citation： CAO Xiong, HAN Biao, MA Minjie, LIN Ruijiang, ZHANG Yu. Application of tubless therapy in the treatment of pulmonary bulla resection. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(5): 436-439. doi: 10.7507/1007-4848.201805009 Copy

1.	MacDuff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax, 2010, 65(Suppl 2): i18-i31.
2.	聶軍, 賀大璞, 王元星, 等. 胸腔鏡治療自發性氣胸75例. 中國內鏡雜志, 2006, 12(6): 650-650, 655.
3.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
4.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
5.	Spadoni GF, Stratford PW, Solomon PE, et al. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sports Phys Ther, 2004, 34(4): 187-193.
6.	Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients. Ann Thorac Surg, 2003, 76(5): 1661-1663.
7.	賀大璞, 龍超眾, 韋兵, 等. 136例胸腔鏡手術臨床應用分析. 中國內鏡雜志, 2009, 15(4): 392-394.
8.	Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest, 2005, 127(6): 2226-2230.
9.	程亮, 陳振強, 于裕, 等. 單孔電視胸腔鏡治療老年人自發性氣胸的臨床療效觀察. 現代生物醫學進展, 2014, 14(34): 6693-6696.
10.	Sihoe AD, Hsin MK, Yu PS. Need lescopic video- assisted thoracic surgery pleurodesis for primary pneumothorax. Multimed Man Cardiothorac Sur g, 2014, 44(25): 221-225.
11.	劉成武, 劉倫旭. 肺癌微創外科治療進展. 中華胸部外科電子雜志, 2016, 3(2): 65-69+59.
12.	吳一旻, 柴瑩. 單孔胸腔鏡在肺癌外科中的應用進展. 國際外科學雜志, 2016, 43(5): 357-360.
13.	熊焱正, 熊焱正, 劉建, 等. 單孔胸腔鏡在肺部疾病中的臨床應用. 安徽醫藥, 2017, 21(6): 1054-1057.
14.	Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 14-21.
15.	向潤, 謝天鵬, 楊曉軍, 等. 開放肺葉切除術后切口鎮痛泵的臨床效果. 中華胸心血管外科雜志, 2015, 31(1): 43, 54.
16.	馬俊杰, 高德軍. 不同管徑胸腔引流管在肺葉切除術后的臨床應用比較. 中華胸部外科電子雜志, 2016, 3(3): 156-159.
17.	李云峰, 王建利, 李國, 等. 快速康復外科在肺大皰切除治療中的應用. 中國醫藥指南, 2015, 13(26): 28-29.

1. MacDuff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax, 2010, 65(Suppl 2): i18-i31.
2. 聶軍, 賀大璞, 王元星, 等. 胸腔鏡治療自發性氣胸75例. 中國內鏡雜志, 2006, 12(6): 650-650, 655.
3. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
4. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
5. Spadoni GF, Stratford PW, Solomon PE, et al. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sports Phys Ther, 2004, 34(4): 187-193.
6. Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients. Ann Thorac Surg, 2003, 76(5): 1661-1663.
7. 賀大璞, 龍超眾, 韋兵, 等. 136例胸腔鏡手術臨床應用分析. 中國內鏡雜志, 2009, 15(4): 392-394.
8. Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest, 2005, 127(6): 2226-2230.
9. 程亮, 陳振強, 于裕, 等. 單孔電視胸腔鏡治療老年人自發性氣胸的臨床療效觀察. 現代生物醫學進展, 2014, 14(34): 6693-6696.
10. Sihoe AD, Hsin MK, Yu PS. Need lescopic video- assisted thoracic surgery pleurodesis for primary pneumothorax. Multimed Man Cardiothorac Sur g, 2014, 44(25): 221-225.
11. 劉成武, 劉倫旭. 肺癌微創外科治療進展. 中華胸部外科電子雜志, 2016, 3(2): 65-69+59.
12. 吳一旻, 柴瑩. 單孔胸腔鏡在肺癌外科中的應用進展. 國際外科學雜志, 2016, 43(5): 357-360.
13. 熊焱正, 熊焱正, 劉建, 等. 單孔胸腔鏡在肺部疾病中的臨床應用. 安徽醫藥, 2017, 21(6): 1054-1057.
14. Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 14-21.
15. 向潤, 謝天鵬, 楊曉軍, 等. 開放肺葉切除術后切口鎮痛泵的臨床效果. 中華胸心血管外科雜志, 2015, 31(1): 43, 54.
16. 馬俊杰, 高德軍. 不同管徑胸腔引流管在肺葉切除術后的臨床應用比較. 中華胸部外科電子雜志, 2016, 3(3): 156-159.
17. 李云峰, 王建利, 李國, 等. 快速康復外科在肺大皰切除治療中的應用. 中國醫藥指南, 2015, 13(26): 28-29.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of tubless therapy in the treatment of pulmonary bulla resection

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content