Effect of 16F gastric tube as thoracic drainage tube on pain relief in patients after lung cancer resection: A controlled trial_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Yongyong ,  CHEN Mingwu , XIAN Lei , GUO Jianji , YANG Nuo , DAI Lei , LIANG Guanbiao , TAN Xiang , ZHENG Qiaorui

Department of Thoracic Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, P.R.China;

Corresponding author：

CHEN Mingwu, Email: chen535@126.com

Keywords：

Gastric tube; drainage tube; enhanced recovery after surgery; lung cancer

DOI：

10.7507/1007-4848.201612074

Video：

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Objective To explore the effect of 16F gastric tube on pain relief in postoperative lung cancer patients. Methods A total of 118 lung cancer patients were treated with radical resection of lung cancer in our hospital between January 2015 and May 2016. The patients were assigned into two groups: a 16F gastric tube group (16F group, 60 patients, 30 males and 30 females at age of 41-73 (52.13±7.83) years and a 28F drainage tube group (28F group, 58 patients, 25 males and 33 females at age of 45-75 (55.62±4.27) years. Clinical effects were compared between the two groups. Results There was no statistical difference in drainage time (4.47±1.03 dvs. 4.24±1.16 d, P=0.473), drainage amount (560.37±125.00 mlvs. 656.03±132.45 ml, P=0.478), incidences of pneumothorax (5/60 vs. 2/58, P=0.439), pleural effusion (6/60 vs. 3/58, P=0.522), and subcutaneous emphysema (3/60 vs. 1/58, P=0.635) between the two groups (P>0.05). The pain caused by the drainage tube in the16F group was less than that in the 28F drainage tube group with a statistical difference (F=4 242.996, P<0.001). The frequency of taking analgesics in the 16F group was significantly less than that in the 28F group (12/60vs. 26/58, P<0.001). Conclusion The effects of draining pleural effusions and promoting lung recruitment are similar between the 16F group and the 28F group. However, the wound pain caused by 16F gastric tube is significantly less than that by 28F drainage tube.

Citation： WANG Yongyong, CHEN Mingwu, XIAN Lei, GUO Jianji, YANG Nuo, DAI Lei, LIANG Guanbiao, TAN Xiang, ZHENG Qiaorui. Effect of 16F gastric tube as thoracic drainage tube on pain relief in patients after lung cancer resection: A controlled trial. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(1): 63-66. doi: 10.7507/1007-4848.201612074 Copy

1.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6):630-641.
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7.	沈春辉, 梅龙勇, 喻鹏铭, 等. 术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力的影响. 中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
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10.	韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后加速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 17-20.
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13.	赵光强, 黄云超. 陈小波, 等. 加速康复外科在肺癌手术中的应用研究. 中国肺癌杂志, 2010, 13(2): 102-106.
14.	Göttgens KW, Siebenga J, Belgers EH, et al. Early removal of the chest tube after complete video-assisted thoracoscopic Lobectomies. Eur J Cardiothorac urg, 2011, 39(4): 575-578.
15.	Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. Zhongguo Fei ai Za Zhi, 2010, 13(11): 999-1003.
16.	Jiwnani S, Mehta M, Karimundackal G, et al. Early removal of chest tubes after lung resection——VATS the reason ? Eur J Cardiothorac Surg, 2012, 41(2): 464.
17.	Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1): 32-35.

1. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6):630-641.
2. Jiang ZW, Li N, Li JS, et al. On conception and clinical significance of FTS. J Chin Mod Surg, 2007, 27(2): 131-133.
3. Li JS. Systemic cognition to connotation of FTS. National Med J Chin, 2007, 87(8): 515-517.
4. Basse L, Raskov HH, Hjort Jakobsen D, et al. Accelerated postoperative recovery programme after colonic resection improves physical performance, pulmonary function and body composition. Br J Surg, 2002, 89(4): 446-453.
5. Henriksen MG, Jensen MB, Hansen HV, et al. Enforced mobilization, early oral feeding, and balanced analgesia improves convalescence after colorectal surgery. Nutrition, 2002, 18(2): 147-152.
6. 周渝斌, 刘伦旭, 喻鹏铭, 等. 胸腔镜肺叶切除术后心肺功能的加速康复. 中国胸心血管外科临床杂志, 2013, 20(2): 168-171.
7. 沈春辉, 梅龙勇, 喻鹏铭, 等. 术前肺康复对肺癌合并中-重度慢性阻塞性肺疾病患者运动耐力的影响. 中国胸心血管外科临床杂志, 2011, 18(6): 514-517.
8. Gómez-Caro A, Roca MJ, Torres J, et al. Successful use of a single chest drain postlobectomy instead of two classical drains: a Randomized study. Eur J Cardiothorac Surg, 2006, 29(4): 562-566.
9. Pawelczyk K, Marciniak M, Kacprzak G, et al. One or two drains after lobectomy ? A comparison of both methods in the immediate postoperative period. Thorac Cardiovasc Surg, 2007, 55(5): 313-316.
10. 韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后加速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 17-20.
11. Miro J, Castarlenas E, Huguet A. Evidence for the use of a numerical rating scale to assess the intensity of pediatric pain. Eur J Pain, 2009, 13(10): 1089-1095.
12. 徐乐天, 主编. 现代胸外科学. 第1版. 北京: 科学出版社, 2004. 182-183, 238-230.
13. 赵光强, 黄云超. 陈小波, 等. 加速康复外科在肺癌手术中的应用研究. 中国肺癌杂志, 2010, 13(2): 102-106.
14. Göttgens KW, Siebenga J, Belgers EH, et al. Early removal of the chest tube after complete video-assisted thoracoscopic Lobectomies. Eur J Cardiothorac urg, 2011, 39(4): 575-578.
15. Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. Zhongguo Fei ai Za Zhi, 2010, 13(11): 999-1003.
16. Jiwnani S, Mehta M, Karimundackal G, et al. Early removal of chest tubes after lung resection——VATS the reason ? Eur J Cardiothorac Surg, 2012, 41(2): 464.
17. Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1): 32-35.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Effect of 16F gastric tube as thoracic drainage tube on pain relief in patients after lung cancer resection: A controlled trial

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