Is a Chest Tube Necessary after Video-Assisted Thoracoscopic Mediastinal Tumor Resection?
Adolescent
Adult
Aged
Aged, 80 and over
Chest Tubes
Clinical Decision-Making
Drainage
/ adverse effects
Feasibility Studies
Female
Humans
Length of Stay
Male
Mediastinal Neoplasms
/ diagnostic imaging
Middle Aged
Pain, Postoperative
/ etiology
Retrospective Studies
Risk Assessment
Risk Factors
Thoracic Surgery, Video-Assisted
/ adverse effects
Time Factors
Treatment Outcome
Unnecessary Procedures
Young Adult
Journal
The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
pubmed:
2
4
2019
medline:
30
4
2021
entrez:
2
4
2019
Statut:
ppublish
Résumé
The omission of chest tubes after thoracoscopic procedures such as sympathectomy, lung biopsy, and lung resection has proven efficacious in decreasing pain and length of hospital stay in some cases. However, its safety for mediastinal diseases remains unclear. This study evaluated the feasibility and outcome of eliminating chest drains after video-assisted thoracoscopic surgery (VATS) for mediastinal tumor resection. We retrospectively investigated 70 patients receiving VATS mediastinal tumor resection in a single institution between January 2016 and November 2018. A total of 39 patients (drain group) received postoperative chest drains and 31 patients (no-drain group) did not. Group clinical outcomes and operation data were compared. A propensity score matching analysis was further performed to yield a fairer comparison. Before propensity score matching, the no-drain group had a higher prevalence of cystic lesions, a shorter operative time, and less blood loss compared with the drain group ( Eliminating chest drain placement after VATS mediastinal tumor resection may benefit some patients and decrease postoperative pain and hospital stay without increasing complications or compromising patient safety.
Sections du résumé
BACKGROUND
The omission of chest tubes after thoracoscopic procedures such as sympathectomy, lung biopsy, and lung resection has proven efficacious in decreasing pain and length of hospital stay in some cases. However, its safety for mediastinal diseases remains unclear. This study evaluated the feasibility and outcome of eliminating chest drains after video-assisted thoracoscopic surgery (VATS) for mediastinal tumor resection.
METHODS
We retrospectively investigated 70 patients receiving VATS mediastinal tumor resection in a single institution between January 2016 and November 2018. A total of 39 patients (drain group) received postoperative chest drains and 31 patients (no-drain group) did not. Group clinical outcomes and operation data were compared. A propensity score matching analysis was further performed to yield a fairer comparison.
RESULTS
Before propensity score matching, the no-drain group had a higher prevalence of cystic lesions, a shorter operative time, and less blood loss compared with the drain group (
CONCLUSION
Eliminating chest drain placement after VATS mediastinal tumor resection may benefit some patients and decrease postoperative pain and hospital stay without increasing complications or compromising patient safety.
Identifiants
pubmed: 30934095
doi: 10.1055/s-0039-1683879
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
181-188Informations de copyright
Thieme. All rights reserved.
Déclaration de conflit d'intérêts
None.