Application of tubless therapy in the treatment of pulmonary bulla resection
- VernacularTitle:无管化治疗方式在肺大疱切除术中的应用
- Author:
CAO Xiong
1
,
2
;
HAN Biao
3
;
MA Minjie
3
;
LIN Ruijiang
3
;
ZHANG Yu
3
Author Information
1. 1. The First Hospital, Lanzhou University, Lanzhou, 730000, P.R.China
2. 2. First Clinical Medical College, Lanzhou University, Lanzhou, 730000, P.R.China
3. The First Hospital, Lanzhou University, Lanzhou, 730000, P.R.China
- Publication Type:Journal Article
- Keywords:
Fast track surgery;
tubless therapy;
pulmonary bulla resection
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(5):436-439
- CountryChina
- Language:Chinese
-
Abstract:
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.
