What are the Advantages? A Prospective Analysis of 16 versus 28 French Chest Tube Sizes in Video-assisted Thoracoscopic Surgery Lobectomy of Lung Cancer
10.3779/j.issn.1009-3419.2015.08.08
- VernacularTitle:胸腔镜肺癌肺叶切除术后16 F较28 F胸腔引流管应用的临床优势
- Author:
YANG MEI
1
;
FAN JUN
;
ZHOU HONGXIA
;
DU HENG
;
QIU FANG
;
LIN LIN
;
LIU LUNXU
;
LI WEIMIN
;
CHE GUOWEI
Author Information
1. 四川大学华西医院胸外科
- Keywords:
Chest tube size;
VATS lobectomy;
Lung neoplasms
- From:
Chinese Journal of Lung Cancer
2015;(8):512-517
- CountryChina
- Language:Chinese
-
Abstract:
Background and objective Post-operation management of minimally invasive thoracic surgery is simi-lar to that of open surgery, especially on the drainage tube of the chest. hTe aim of this study is to compare the advantages of us-ing 16 F versus 28 F chest tubes in video-assisted thoracoscopic surgery (VATS) lobectomy of lung cancer.Methods Data from 163 patients (February-May 2014) who underwent VATS lobectomy of lung cancer with insertion of one chest drain (16 F or 28 F) were analyzed. hTe following post-operative data were evaluated: primary healing of tube incision, CXR abnormalities (pneumothorax, lfuid, atelectasis, subcutaneous emphysema, and hematoma), drainage time, new drain insertion, and wound healing at the site of insertion.Results A total of 75 patients received 28 F chest tubes, and 88 patients received 16 F chest tubes. Both groups were similar in age, gender, comorbidities, and pathological evaluation of resection specimens. Atfer adjust-ment, no statistically signiifcant difference was found between the two groups in relation to tube-related complications includ-ing residual pneumothoraces (4.00%vs 4.44%;P=0.999), subcutaneous emphysema (8.00%vs 6.67%;P=0.789), retained hemothorax (0vs41%,P=0.253), and drainage time [(28.4±16.12) hvs(22.1±11.8) h;P=0.120)] hTe average total drainage volume and rrhythmia rates of the 16 F group [(365±106) mL, 14.67%)] was less than that of the 28 F group [(665±217) mL, 4.5%;P=0.030,P=0.047]. hTe rates of primary healing at the site of insertion in the 16 F group (95.45%) was higher than that in the 28 F group (77.73%,P=0.039). A signiifcant difference was found on the post-operative length of stay of the two groups [(4.23±0.05) dvs(4.57±0.16) d,P=0.078].Conclusion hTe use of 16 F chest tube for VATS lobectomy of patients with lung cancer did not affect the clinically relevant outcomes tested. However, 16 F chest tube facilitated faster wound healing at the site of insertion.
