Thoracic drainage with traditional chest tube versus central venous catheter after video-assisted thoracoscopic lobectomy: A randomized controlled study
- VernacularTitle:传统胸腔引流管与中心静脉导管在胸腔镜肺叶切除术后胸腔引流中应用的随机对照研究
- Author:
Weiqiang CHEN
1
;
Jie JIANG
1
;
Guang ZHAO
1
;
Xiuyi YU
1
;
Yanjun MI
2
;
Xiaolei ZHU
1
;
Ning LI
1
;
Hongming LIU
1
;
Guojun GENG
1
Author Information
1. Department of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, Fujian, P. R. China
2. Department of Oncology, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, Fujian, P. R. China
- Publication Type:Journal Article
- Keywords:
Chest tube;
central venous catheter;
video-assisted thoracoscopic lobectomy;
lung cancer;
randomized controlled study
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(12):1618-1624
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effectiveness and safety of a central venous catheter for thoracic drainage after video-assisted thoracoscopic lobectomy compared with a conventional chest tube. Methods This study collected 200 patients with lung cancer who underwent thoracoscopic lobectomy and systematic hilar and mediastinal lymph node dissection between January 2018 and September 2019 in our hospital. The patients were randomly divided into two groups, including a group A (left with 28F chest tubes postoperatively) and a group B (left with 12G central venous catheters postoperatively). Patients in both groups were left with 2 chest tubes after upper lobectomy and 1 chest tube after middle or lower lobectomy. Duration and total volume of drainage, length of hospital stay, maximum visual analogue scale score and so forth were compared between the two groups. Results Finally, 151 patients were included for analysis. There were 73 patients in the group A, including 26 males and 47 females, with an average age of 55.38±9.95 years, and 78 patients in the group B, including 37 males and 41 females, with an average age of 59.86±10.18 years. No statistical difference was found between the two groups in drainage volume on postoperative day 2, and proportion of prolonged air leaks, hemothorax, chylothorax or drain reinsertion (all P>0.05). There was a statistical difference in drainage volume on postoperative day 1 [200.0 (120.0, 280.0) mL vs. 57.5 (10.0, 157.5) mL, P=0.000], postoperative day 3 [155.0 (100.0, 210.0) mL vs. 150.0 (80.0, 215.0) mL, P=0.023], total volume of drainage [890.0 (597.5, 1 530.0) mL vs. 512.5 (302.5, 786.3) mL, P=0.000], maximum pain score (2.29±0.72 points vs. 2.09±0.51 points, P=0.013) and length of hospital stay [7 (7, 9) d vs. 5 (4, 7) d, P=0.000]. Conclusion Compared with conventional chest tubes, central venous catheters for chest drainage in patients with lung cancer after thoracoscopic lobectomy shortens the length of hospital stay and reduces postoperative pain.
