Research progress of no chest tube after thoracoscopic surgery in enhanced recovery
10.3760/cma.j.cn112434-20241022-00258
- VernacularTitle:胸腔镜手术后不放置胸腔引流管在加速康复中的研究进展
- Author:
Peihao WANG
1
;
Chunquan LIU
1
;
Kaikai XU
1
;
Yong CUI
1
Author Information
1. 首都医科大学附属北京友谊医院，北京 100050
- Publication Type:Journal Article
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2025;41(1):49-54
- CountryChina
- Language:Chinese
-
Abstract:
With the growing popularity of video assisted thoracic surgery(VATS), the concept of enhanced recovery after surgery(ERAS) has become widely recognized. Alongside the emphasis on minimally invasive techniques during surgery, there is also a heightened focus on the management of postoperative thoracic drainage. The placement of a chest tube after thoracoscopic surgery often leads to wound pain, which can hinder patient recover. Numerous studies have demonstrated that for sublobar resections, lobectomies, and mediastinal procedures, it is safe and feasible to forgo chest tube placement, thereby accelerating patient recovery. This article reviews the structural anatomy of the thoracic cavity and the mechanisms underlying pleural effusion, drawing on pertinent research findings from both domestic and international studies. It examines the current practices regarding the postoperative placement of chest drainage tubes, evaluates the safety and feasibility of omitting such tubes, and outlines tube-free strategies for various surgical procedures. Additionally, the article addresses associated complications and their prevention.
