Single-port VATS combined with non-indwelling drain in ERAS: a retrospective study.
Enhanced recovery after surgery
Non- indwelling drain
Single-port thoracoscopy
Journal
Journal of cardiothoracic surgery
ISSN: 1749-8090
Titre abrégé: J Cardiothorac Surg
Pays: England
ID NLM: 101265113
Informations de publication
Date de publication:
26 Sep 2021
26 Sep 2021
Historique:
received:
12
09
2020
accepted:
19
09
2021
entrez:
27
9
2021
pubmed:
28
9
2021
medline:
16
10
2021
Statut:
epublish
Résumé
We investigated single-port video-assisted thoracoscopic surgery (VATS) combined with a postoperative non-indwelling drain in enhanced recovery after surgery (ERAS). The clinical data of 127 patients who underwent double- and single-port VATS from January 2018 to December 2019 were analyzed retrospectively. The groups constituted 71 cases undergoing double-port and 56 cases undergoing single-port VATS (30 cases in the indwelling drain group and 26 cases in the non-indwelling drain group). The incidence of postoperative complications, pain scores, and postoperative hospital stay were compared between the two groups. Compared with the double-port group, the single-port group had shorter postoperative hospital stays and lower pain scores on the first and third postoperative days (P < 0.05). Pain scores on the first and third days were lower in the single-port non-indwelling drain group than in the single-port indwelling drain group (P < 0.05), and the postoperative hospitalization time was significantly shorter in the single-port group (P < 0.05). However, there was no significant difference between the two groups for operation time, incidence of complications, and pain scores 1 month after operation (P > 0.05). The combination of single-port VATS with a non-indwelling drain can relieve postoperative pain, help patients recover quickly, and is in accordance with ERAS.
Sections du résumé
BACKGROUND
BACKGROUND
We investigated single-port video-assisted thoracoscopic surgery (VATS) combined with a postoperative non-indwelling drain in enhanced recovery after surgery (ERAS).
METHODS
METHODS
The clinical data of 127 patients who underwent double- and single-port VATS from January 2018 to December 2019 were analyzed retrospectively. The groups constituted 71 cases undergoing double-port and 56 cases undergoing single-port VATS (30 cases in the indwelling drain group and 26 cases in the non-indwelling drain group). The incidence of postoperative complications, pain scores, and postoperative hospital stay were compared between the two groups.
RESULTS
RESULTS
Compared with the double-port group, the single-port group had shorter postoperative hospital stays and lower pain scores on the first and third postoperative days (P < 0.05). Pain scores on the first and third days were lower in the single-port non-indwelling drain group than in the single-port indwelling drain group (P < 0.05), and the postoperative hospitalization time was significantly shorter in the single-port group (P < 0.05). However, there was no significant difference between the two groups for operation time, incidence of complications, and pain scores 1 month after operation (P > 0.05).
CONCLUSIONS
CONCLUSIONS
The combination of single-port VATS with a non-indwelling drain can relieve postoperative pain, help patients recover quickly, and is in accordance with ERAS.
Identifiants
pubmed: 34565415
doi: 10.1186/s13019-021-01657-x
pii: 10.1186/s13019-021-01657-x
pmc: PMC8474895
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
271Subventions
Organisme : Bethune Charitable Foundation
ID : HZB-20181119-53
Informations de copyright
© 2021. The Author(s).
Références
Ann Thorac Surg. 2017 Feb;103(2):462-468
pubmed: 27865474
Medicine (Baltimore). 2019 Jun;98(26):e15857
pubmed: 31261493
Eur J Cardiothorac Surg. 2005 Jul;28(1):43-6
pubmed: 15927479
Can Respir J. 2017;2017:9345324
pubmed: 28951662
Eur J Cardiothorac Surg. 2011 Apr;39(4):575-8
pubmed: 20833554
Ann Thorac Surg. 2019 Aug;108(2):399-404
pubmed: 30959014
Eur J Cardiothorac Surg. 2004 Jun;25(6):1054-8
pubmed: 15145009
Curr Opin Pulm Med. 2015 Jul;21(4):376-86
pubmed: 26016583
Br J Surg. 2015 Aug;102(9):1133-41
pubmed: 26042725
Am J Surg. 2002 Jun;183(6):630-41
pubmed: 12095591
J Cardiothorac Surg. 2019 Jan 22;14(1):18
pubmed: 30670039
Eur J Cardiothorac Surg. 2017 Apr 1;51(4):689-693
pubmed: 28007874
Ann Thorac Surg. 2004 Feb;77(2):726-8
pubmed: 14759479
J Thorac Dis. 2016 Aug;8(8):2226-32
pubmed: 27621880
BMJ. 2001 Feb 24;322(7284):473-6
pubmed: 11222424
J Thorac Dis. 2019 Sep;11(Suppl 15):S1947-S1950
pubmed: 31632794
Eur J Cardiothorac Surg. 2013 Aug;44(2):225-9; discussion 229
pubmed: 23313864
Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Mar;19(3):246-9
pubmed: 27003638
J Thorac Dis. 2019 Dec;11(12):5613-5615
pubmed: 32030282
Surg Today. 2011 Jun;41(6):774-9
pubmed: 21626321
Surg Today. 2017 May;47(5):606-610
pubmed: 27688029
Eur J Cardiothorac Surg. 2012 Apr;41(4):820-2; discussion 823
pubmed: 22219425