The clinical application of metal supported multi-sided versus ordinary ultra-fine drainage tube in the uniportal video-assisted thoracoscopic lower pulmonary lobectomy: A retrospective cohort study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Zhiwei ^1,2,3,4 , YUE Peng ^1,2,3,4 , MA Minjie ^1,2,3,4 , LIU Lixin ^2,3,4 , HU Wenteng ^1,2,3,4 , LI Qiong ¹ ,  HAN Biao ^2,3,4

1. The First Clinical Medical College of Lanzhou University, Lanzhou, 730000, P. R. China;
2. Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, P. R. China;
3. Major in R&D and Application of Key Technologies in Thoracic Surgery Gansu International Science and Technology Cooperation Base, Lanzhou, 730000, P. R. China;
4. Gansu Provincial Medical Quality Control Center of Thoracic Surgery, Lanzhou, 730000, P. R. China;

Corresponding?author：

HAN Biao, Email: hanbiao66@163.com

Keywords：

Ultra-fine drainage tube; uniportal video-assisted thoracic surgery; lower lobectomy; retrospective cohort study; enhanced recovery

DOI：

10.7507/1007-4848.202210045

Video：

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Objective To investigate the clinical effect of metal supported multi-sided versus ordinary ultra-fine drainage tube in the uniportal video-assisted thoracic surgery (VATS) lower pulmonary lobectomy. Methods From January 2021 to June 2022, the clinical data of patients who underwent uniportal VATS lower lobectomy in our hospital were retrospectively analyzed. According to the different types of ultra-fine drainage tubes used in the surgery, the patients were divided into an experimental group (using multi-sided hole 10F ultra-fine drainage tubes with metal support) and a control group (using ordinary 12F ultra-fine drainage tubes). The clinical data of the two groups were compared. Results A total of 190 patients were enrolled, including 108 males and 82 females. There were 90 patients in the experimental group aged 56.60±10.14 years; and 100 patients in the control group aged 57.07±11.04 years. The incidences of postoperative lung infection and pleural effusion in the experimental group were lower than those in the control group, with statistically significant differences (P<0.05). The postoperative visual analogue scale score, the need to adjust the chest drainage tube after the surgery, the need for chest puncture after the surgery, the time of postoperative chest tube removal, and the hospitalization cost were statistically different (P<0.05). There was no statistical difference in the length of postoperative hospital stay or the incidences of postoperative lung leakage, arrhythmia, and atelectasis complications (P>0.05). Conclusion Compared with the ordinary ultra-fine drainage tubes, multi-sided hole ultra-fine drainage tubes with metal support can reduce the incidences of lung infection and pleural effusion complications after the uniportal VATS lower lobectomy, reduce the pain and economic burden, which can be applied in the uniportal VATS lower lobectomy.

Citation： HAN Zhiwei, YUE Peng, MA Minjie, LIU Lixin, HU Wenteng, LI Qiong, HAN Biao. The clinical application of metal supported multi-sided versus ordinary ultra-fine drainage tube in the uniportal video-assisted thoracoscopic lower pulmonary lobectomy: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(7): 980-984. doi: 10.7507/1007-4848.202210045 Copy

1.	單立群, 閆宏旺, 林輝, 等. 不同管徑的胸腔引流管對肺癌患者胸腔鏡肺葉切除術后康復的影響比較. 浙江創傷外科, 2020, 25(6): 1185-1187.
2.	孟繁贇. 非小細胞肺癌超細引流管輔助胸腔鏡肺葉切除術的臨床療效分析. 當代醫學, 2021, 27(24): 83-85.
3.	許賢創. 16F與28F引流管在肺癌胸腔鏡肺葉切除術后胸腔引流中的應用效果比較. 河南醫學研究, 2021, 30(22): 4096-4098.
4.	Chen Y, Zheng C, Zeng Q, et al. Cerebral air embolism after pigtail catheter drainage for pneumothorax: A case report and review of the literature. Front Surg, 2021, 8: 743051.
5.	Zhang JT, Dong S, Chu XP, et al. Randomized trial of an improved drainage strategy versus routine chest tube after lung wedge resection. Ann Thorac Surg, 2020, 109(4): 1040-1046.
6.	韓志偉, 胡文滕, 馬敏杰, 等. 帶金屬支撐的多側孔超細引流管對單孔胸腔鏡肺上葉切除術后胸腔殘腔形成影響的單中心回顧性研究. 中國胸心血管外科臨床雜志, 2024, 31(3): 397-402.
7.	Wei S, Zhang G, Ma J, et al. Randomized controlled trial of an alternative drainage strategy vs. routine chest tube insertion for postoperative pain after thoracoscopic wedge resection. BMC Anesthesiol, 2022, 22(1): 27.
8.	Rakovich G, Belahmira G, Woodall WH, et al. Learning curve for completely thoracoscopic anatomic sublobar resection. Minerva Surg, 2022, 77(2): 101-108.
9.	Song Y, Zheng C, Zhou S, et al. The application analysis of 8F ultrafine chest drainage tube for thoracoscopic lobectomy of lung cancer. J Cardiothorac Surg, 2021, 16(1): 104.
10.	呂芳芳, 殷靜靜, 楊麗娟. 肺切除術后胸腔引流管管理的最佳證據總結. 中華護理雜志, 2020, 55(5): 773-779.
11.	鄭崇. 8F胸腔引流管在胸腔鏡下肺葉切除術的應用分析: 傾向性評分匹配研究. 河北北方學院, 2021.
12.	Yao Y, Hua Q, Liu S, et al. Efficacy of multi-groove silicone drains in single-port video-assisted thoracoscopic lung cancer surgery and their effect on C-reactive protein: A single-center experience. J Thorac Dis, 2021, 13(12): 6885-6896.
13.	Pfeuty K, Lenot B. Early postoperative day 0 chest tube removal using a digital drainage device protocol after thoracoscopic major pulmonary resection. Interact Cardiovasc Thorac Surg, 2020, 31(5): 657-663.
14.	Yang Z, Hu T, Shen H, et al. Application of small-bore pigtail catheter to improve pleural drainage after single-incision thoracoscopic lobectomy for lung cancer. ANZ J Surg, 2020, 90(1-2): 139-143.
15.	Cui Z, Zhang Y, Xu C, et al. Comparison of the results of two chest tube managements during an enhanced recovery program after video-assisted thoracoscopic lobectomy: A randomized trial. Thorac Cancer, 2019, 10(10): 1993-1999.
16.	Huang J, Tian Y, Zhou QJ, et al. Comparison of perioperative outcomes of robotic-assisted versus video-assisted thoracoscopic right upper lobectomy in non-small cell lung cancer. Transl Lung Cancer Res, 2021, 10(12): 4549-4557.
17.	Mendogni P, Tosi D, Marulli G, et al. Multicenter randomized controlled trial comparing digital and traditional chest drain in a VATS pulmonary lobectomy cohort: Interim analysis. J Cardiothorac Surg, 2021, 16(1): 188.
18.	Xing T, Li X, Liu J, et al. Early removal of chest tubes leads to better short-term outcome after video-assisted thoracoscopic surgery lung resection. Ann Transl Med, 2020, 8(4): 101.
19.	Li R, Qiu J, Qu C, et al. Comparison of perioperative outcomes with or without routine chest tube drainage after video-assisted thoracoscopic pulmonary resection: A systematic review and meta-analysis. Front Oncol, 2022, 12: 915020.
20.	Li X, Chen X, He S, et al. The application of pigtail catheters in postoperative drainage of lung cancer. Clin Lung Cancer, 2022, 23(3): e196-e202.
21.	Xu G, Du J, Zhang J, et al. A propensity sore-matched study: Applying a modified chest tube drainage strategy in rapid rehabilitation following uni-portal thoracoscopic pulmonary wedge resection. Thorac Cancer, 2022, 13(11): 1657-1663.

1. 單立群, 閆宏旺, 林輝, 等. 不同管徑的胸腔引流管對肺癌患者胸腔鏡肺葉切除術后康復的影響比較. 浙江創傷外科, 2020, 25(6): 1185-1187.
2. 孟繁贇. 非小細胞肺癌超細引流管輔助胸腔鏡肺葉切除術的臨床療效分析. 當代醫學, 2021, 27(24): 83-85.
3. 許賢創. 16F與28F引流管在肺癌胸腔鏡肺葉切除術后胸腔引流中的應用效果比較. 河南醫學研究, 2021, 30(22): 4096-4098.
4. Chen Y, Zheng C, Zeng Q, et al. Cerebral air embolism after pigtail catheter drainage for pneumothorax: A case report and review of the literature. Front Surg, 2021, 8: 743051.
5. Zhang JT, Dong S, Chu XP, et al. Randomized trial of an improved drainage strategy versus routine chest tube after lung wedge resection. Ann Thorac Surg, 2020, 109(4): 1040-1046.
6. 韓志偉, 胡文滕, 馬敏杰, 等. 帶金屬支撐的多側孔超細引流管對單孔胸腔鏡肺上葉切除術后胸腔殘腔形成影響的單中心回顧性研究. 中國胸心血管外科臨床雜志, 2024, 31(3): 397-402.
7. Wei S, Zhang G, Ma J, et al. Randomized controlled trial of an alternative drainage strategy vs. routine chest tube insertion for postoperative pain after thoracoscopic wedge resection. BMC Anesthesiol, 2022, 22(1): 27.
8. Rakovich G, Belahmira G, Woodall WH, et al. Learning curve for completely thoracoscopic anatomic sublobar resection. Minerva Surg, 2022, 77(2): 101-108.
9. Song Y, Zheng C, Zhou S, et al. The application analysis of 8F ultrafine chest drainage tube for thoracoscopic lobectomy of lung cancer. J Cardiothorac Surg, 2021, 16(1): 104.
10. 呂芳芳, 殷靜靜, 楊麗娟. 肺切除術后胸腔引流管管理的最佳證據總結. 中華護理雜志, 2020, 55(5): 773-779.
11. 鄭崇. 8F胸腔引流管在胸腔鏡下肺葉切除術的應用分析: 傾向性評分匹配研究. 河北北方學院, 2021.
12. Yao Y, Hua Q, Liu S, et al. Efficacy of multi-groove silicone drains in single-port video-assisted thoracoscopic lung cancer surgery and their effect on C-reactive protein: A single-center experience. J Thorac Dis, 2021, 13(12): 6885-6896.
13. Pfeuty K, Lenot B. Early postoperative day 0 chest tube removal using a digital drainage device protocol after thoracoscopic major pulmonary resection. Interact Cardiovasc Thorac Surg, 2020, 31(5): 657-663.
14. Yang Z, Hu T, Shen H, et al. Application of small-bore pigtail catheter to improve pleural drainage after single-incision thoracoscopic lobectomy for lung cancer. ANZ J Surg, 2020, 90(1-2): 139-143.
15. Cui Z, Zhang Y, Xu C, et al. Comparison of the results of two chest tube managements during an enhanced recovery program after video-assisted thoracoscopic lobectomy: A randomized trial. Thorac Cancer, 2019, 10(10): 1993-1999.
16. Huang J, Tian Y, Zhou QJ, et al. Comparison of perioperative outcomes of robotic-assisted versus video-assisted thoracoscopic right upper lobectomy in non-small cell lung cancer. Transl Lung Cancer Res, 2021, 10(12): 4549-4557.
17. Mendogni P, Tosi D, Marulli G, et al. Multicenter randomized controlled trial comparing digital and traditional chest drain in a VATS pulmonary lobectomy cohort: Interim analysis. J Cardiothorac Surg, 2021, 16(1): 188.
18. Xing T, Li X, Liu J, et al. Early removal of chest tubes leads to better short-term outcome after video-assisted thoracoscopic surgery lung resection. Ann Transl Med, 2020, 8(4): 101.
19. Li R, Qiu J, Qu C, et al. Comparison of perioperative outcomes with or without routine chest tube drainage after video-assisted thoracoscopic pulmonary resection: A systematic review and meta-analysis. Front Oncol, 2022, 12: 915020.
20. Li X, Chen X, He S, et al. The application of pigtail catheters in postoperative drainage of lung cancer. Clin Lung Cancer, 2022, 23(3): e196-e202.
21. Xu G, Du J, Zhang J, et al. A propensity sore-matched study: Applying a modified chest tube drainage strategy in rapid rehabilitation following uni-portal thoracoscopic pulmonary wedge resection. Thorac Cancer, 2022, 13(11): 1657-1663.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

The clinical application of metal supported multi-sided versus ordinary ultra-fine drainage tube in the uniportal video-assisted thoracoscopic lower pulmonary lobectomy: A retrospective cohort study

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