Influencing factors analysis of thoracic drainage time after da Vinci robot lung cancer surgery and preventive solution
- VernacularTitle:机器人肺癌术后胸腔引流时间影响因素分析及应对策略
- Author:
Zilin YANG
1
;
Wei XU
2
;
Shiguang XU
2
;
Bo LIU
2
;
Dazhi LIU
2
;
Hao MENG
2
;
Renquan DING
2
;
Xilong WANG
2
;
Xingchi LIU
2
;
Bo LI
2
;
Shumin WANG
2
Author Information
1. Graduate Training Base of General Hospital of Northern Theater Command, Jinzhou Medical University, Shenyang, 110016, P.R.China
2. Department of Thoracic Surgery, General Hospital of Northern Theater Command, Shenyang, 110016, P.R.China
- Publication Type:Journal Article
- Keywords:
da Vinci robot surgery system;
lung cancer;
thoracic drainage;
postoperative drainage time;
enhanced recovery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(05):524-528
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the factors that affect the drainage time of da Vinci robot lung cancer surgery, to analyze the coping strategies, and to provide a basis for shortening the drainage time of patients after surgery and speeding up the patients' recovery. Methods The clinical data of 131 patients who underwent da Vinci robot lung cancer surgery at the Department of Thoracic Surgery, General Hospital of Northern Theater Command from January 2019 to October 2019 were retrospectively analyzed. Among them, 68 were males and 63 were females, with an average age of 59.84±9.66 years. According to the postoperative thoracic drainage time, the patients were divided into two groups including a group A (drainage time≤ 5 days) and a group B (drainage time >5 days). Univariate analysis and logistic multivariate regression analysis were used to analyze the factors that may affect postoperative drainage time, and the correlation between different influencing factors and thoracic drainage time after da Vinci robot lung cancer surgery. Results Logistic multivariate analysis showed that age≥60 years (P=0.014), diabetes mellitus (P=0.035), operation time≥130 min (P=0.018), number of lymph node dissections≥15 (P=0.002), and preoperative albumin<38.45 g/L (P=0.010) were independent factors affecting the drainage time of da Vinci robot lung cancer surgery. Conclusion For elderly patients with diabetes mellitus during the perioperative period, blood glucose should be actively controlled, reasonable surgical strategies should be formulated to ensure the safety and effectiveness of the operation, while reducing intraoperative damage and shortening the operation time. After the operation, patients should be guided to strengthen active coughing, expectoration and lung expansion. Thereby it can shorten drainage time and speed up the recovery of patients after operation.
