Comparison of the single or double chest tube applications after lobectomy: A systematic review and meta-analysis
- VernacularTitle:肺癌术后单管与双管胸腔闭式引流疗效比较的系统评价与 Meta 分析
- Author:
LIU Xiaoqing
1
;
ZHAO Fei
1
;
DAI Jigang
1
;
ZHOU Dong
1
;
CHEN Wei
1
Author Information
1. Department of Thoracic Surgery, The Second Hospital Affiliated to Army Medical University, Chongqing, 400037, P.R.China
- Publication Type:Journal Article
- Keywords:
Lung cancer;
lobectomy;
single tube;
double tube;
closed thoracic drainage;
systematic review and meta-analysis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2019;26(6):583-589
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the efficacy of the single tube (ST) and double tube (DT) for closed thoracic drainage after lobectomy. Methods The PubMed, Medline, EMbase, Web of Science, CNKI, Wanfang Database, VIP database and CBMdisc from inception to March 30, 2018 were searched by computer to identify randomized controlled trial (RCT) about ST and DT drainage after lobectomy. Based on inclusion and exclusion criteria the literature was screened. Meta-analysis was performed using RevMan 5.3 software. Results Twelve RCTs were enrolled in this meta-analysis, including 1 442 patients. Compared with the patients using DT after lobectomy, the patients using ST had significantly less postoperative pain (MD=–0.64, 95%CI –0.71 to –0.56, P<0.000 01) and shorter duration of drainage (MD=–0.62, 95%CI –0.78 to –0.46, P<0.000 01) and hospital stay (MD=–0.55, 95%CI –0.80 to –0.29, P<0.000 1). Besides, there was no significant difference in postoperative complications (RR=1.11, 95%CI 0.83 to 1.49, P=0.49), air leaks (RD=0.03, 95%CI –0.02 to 0.08, P=0.19) and the redrainage rate (RR=0.89, 95%CI 0.51 to 1.54, P=0.67). Conclusion ST drainage after lobectomy is effective, which reduces postoperative pain and duration of hospital stay and drainage, and moreover, does not increase the postoperative complications and redrainage rate.
