Digital drainage system <i>versus</i> traditional drainage system for thoracic drainage after lung surgery: A case control study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 ZHANG Hongbin ¹ , LU Chao ² , LIANG Zheng ¹

1. Department of Thoracic Surgery, Peking University International Hospital, Peking University, Beijing, 102206, P.R.China;
2. Department of Radiology, Peking University International Hospital, Peking University, Beijing, 102206, P.R.China;

Corresponding author：

ZHANG Hongbin, Email: dr_zhanghongbin@163.com

Keywords：

Digital drainage system; thoracoscopic surgery; enhanced recovery after surgery

DOI：

10.7507/1007-4848.201706003

Video：

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Objective To compare the digital drainage system and the traditional drainage system in the patients after lung surgery, and to evaluate the advantages of digital drainage system. Methods A retrospective analysis of consecutive 42 patients with lung surgery between September 2016 and May 2017 in Beijing University International Hospital was done. There were 30 males and 12 females with a median age of 34 years ranging 19-81 years. After the surgery 21 patients adopted Thopaz digital drainage device (a DDS group), and the other 21 patients adopted traditional drainage (a TDS group). Duration of air leakage and chest tube placement, length of hospital stay, thoracic drainage volume within 48 h and hospitalization expenses in the two groups were compared. Results The patients in the two groups were all successfully discharged. Compared with the TDS group, duration of air leakage and chest tube placement and length of hospital stay significantly shortened in the DDS group (35.6±16.3 h vs. 48.2±20.1 h, P=0.02; 50.0±16.1 h vs. 62.0±20.4 h, P=0.03; 5.9±2.3 d vs. 7.8±3.5 d, P=0.02), and thoracic drainage volume within 48 h and hospitalization expenses showed no significant statistical difference between the two groups. Conclusion Using digital drainage system after lung surgery can significantly shorten the duration of air leakage and the postoperative drainage, at the same time, without increasing the overall hospitalization expenses.

Citation： ZHANG Hongbin, LU Chao, LIANG Zheng. Digital drainage system versus traditional drainage system for thoracic drainage after lung surgery: A case control study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(4): 289-292. doi: 10.7507/1007-4848.201706003 Copy

1.	French DG, Dilena M, LaPlante S, et al. Optimizing postoperative care protocols in thoracic surgery: best evidence and new technology. J Thorac Dis, 2016, 8(Suppl 1): S3-S11.
2.	Slim K. The benefits of enhanced recovery after surgery. J Visc Surg, 2016, 153(6S): S41-S44.
3.	Afoke J, Tan C, Hunt I, et al. Might digital drains speed up the time to thoracic drain removal? Interact Cardiovasc Thorac Surg, 2014, 19(1): 135-138.
4.	Bintcliffe OJ, Hallifax RJ, Edey A, et al. Spontaneous pneumothorax: time to rethink management? Lancet Respir Med, 2015, 3(7): 578-588.
5.	Ono M, Komiya K, Oka H, et al. Prognosis of pneumothorax in elderly patients treated with thoracic drainage. J Palliat Med, 2014, 17(11): 1197-1198.
6.	Mesa-Guzman M, Periklis P, Niwaz Z, et al. Determining optimal fluid and air leak cut off values for chest drain management in general thoracic surgery. J Thorac Dis, 2015, 7(11): 2053-2057.
7.	George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis, 2016, 8(Suppl 1): S55-S64.
8.	Brunelli A, Cassivi SD, Salati M, et al. Digital measurements of air leak flow and intrapleural pressures in the immediate postoperative period predict risk of prolonged air leak after pulmonary lobectomy. Eur J Cardiothorac Surg, 2011, 39(4): 584-588.
9.	Gilbert S, McGuire AL, Maghera S, et al. Randomized trial of digital versus analog pleural drainage in patients with or without a pulmonary air leak after lung resection. J Thorac Cardiovasc Surg, 2015, 150(5): 1243-1249.
10.	Mier JM, Molins L, Fibla JJ, The benefits of digital air leak assessment after pulmonary resection: prospective and comparative study. The benefits of digital air leak assessment after pulmonary resection: prospective and comparative study. Cir Esp, 2010, 87(6): 385-389.
11.	Cafarotti S, Cusumano G, Giuliani M, et al. Extra-anatomical VATS lung resection: the outpatient experience with the aid of a digital chest drain device. Eur Rev Med Pharmacol Sci, 2015, 19(20): 3850-3854.
12.	Costa AD Jr, Bachichi T, Holanda C, et al. An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. J Bras Pneumol, 2016, 42(6): 444-446.
13.	Rathinam S, Bradley A, Cantlin T, et al. Thopaz Portable Suction Systems in Thoracic Surgery: an end user assessment and feedback in a tertiary unit. J Cardiothorac Surg, 2011, 6: 59.
14.	Mier JM, Cortés-Julián G, Berrios-Mejía J, et al. The benefits of digital chest drainage in pleural decortication in thoracic empyema. Prospective, randomized, control trial. Cir Cir, 2017, 85(6): 522-525.
15.	Cortés Julián G, Mier JM, Iñiguez MA, et al. Right main bronchial fracture resolution by digital thoracic drainage system. Asian Cardiovasc Thorac Ann, 2016, 24(3): 283-285.
16.	Tsim S, Paton L, Nicholson F, et al. Rescue therapy using an endobronchial valve and digital air leak monitoring in Invasive Pulmonary Aspergillosis. Respir Med Case Rep, 2014, 14: 27-29.
17.	Tang H, Pan T, Qin X, et al. A portable thoracic closed drainage instrument for hemopneumothorax. J Trauma Acute Care Surg, 2012, 72(3): 671-675.
18.	Pompili C, Brunelli A, Salati M, et al. Impact of the learning curve in the use of a novel electronic chest drainage system after pulmonary lobectomy: a case-matched analysis on the duration of chest tube usage. Interact Cardiovasc Thorac Surg, 2011, 13(5): 490-493.

1. French DG, Dilena M, LaPlante S, et al. Optimizing postoperative care protocols in thoracic surgery: best evidence and new technology. J Thorac Dis, 2016, 8(Suppl 1): S3-S11.
2. Slim K. The benefits of enhanced recovery after surgery. J Visc Surg, 2016, 153(6S): S41-S44.
3. Afoke J, Tan C, Hunt I, et al. Might digital drains speed up the time to thoracic drain removal? Interact Cardiovasc Thorac Surg, 2014, 19(1): 135-138.
4. Bintcliffe OJ, Hallifax RJ, Edey A, et al. Spontaneous pneumothorax: time to rethink management? Lancet Respir Med, 2015, 3(7): 578-588.
5. Ono M, Komiya K, Oka H, et al. Prognosis of pneumothorax in elderly patients treated with thoracic drainage. J Palliat Med, 2014, 17(11): 1197-1198.
6. Mesa-Guzman M, Periklis P, Niwaz Z, et al. Determining optimal fluid and air leak cut off values for chest drain management in general thoracic surgery. J Thorac Dis, 2015, 7(11): 2053-2057.
7. George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis, 2016, 8(Suppl 1): S55-S64.
8. Brunelli A, Cassivi SD, Salati M, et al. Digital measurements of air leak flow and intrapleural pressures in the immediate postoperative period predict risk of prolonged air leak after pulmonary lobectomy. Eur J Cardiothorac Surg, 2011, 39(4): 584-588.
9. Gilbert S, McGuire AL, Maghera S, et al. Randomized trial of digital versus analog pleural drainage in patients with or without a pulmonary air leak after lung resection. J Thorac Cardiovasc Surg, 2015, 150(5): 1243-1249.
10. Mier JM, Molins L, Fibla JJ, The benefits of digital air leak assessment after pulmonary resection: prospective and comparative study. The benefits of digital air leak assessment after pulmonary resection: prospective and comparative study. Cir Esp, 2010, 87(6): 385-389.
11. Cafarotti S, Cusumano G, Giuliani M, et al. Extra-anatomical VATS lung resection: the outpatient experience with the aid of a digital chest drain device. Eur Rev Med Pharmacol Sci, 2015, 19(20): 3850-3854.
12. Costa AD Jr, Bachichi T, Holanda C, et al. An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. J Bras Pneumol, 2016, 42(6): 444-446.
13. Rathinam S, Bradley A, Cantlin T, et al. Thopaz Portable Suction Systems in Thoracic Surgery: an end user assessment and feedback in a tertiary unit. J Cardiothorac Surg, 2011, 6: 59.
14. Mier JM, Cortés-Julián G, Berrios-Mejía J, et al. The benefits of digital chest drainage in pleural decortication in thoracic empyema. Prospective, randomized, control trial. Cir Cir, 2017, 85(6): 522-525.
15. Cortés Julián G, Mier JM, Iñiguez MA, et al. Right main bronchial fracture resolution by digital thoracic drainage system. Asian Cardiovasc Thorac Ann, 2016, 24(3): 283-285.
16. Tsim S, Paton L, Nicholson F, et al. Rescue therapy using an endobronchial valve and digital air leak monitoring in Invasive Pulmonary Aspergillosis. Respir Med Case Rep, 2014, 14: 27-29.
17. Tang H, Pan T, Qin X, et al. A portable thoracic closed drainage instrument for hemopneumothorax. J Trauma Acute Care Surg, 2012, 72(3): 671-675.
18. Pompili C, Brunelli A, Salati M, et al. Impact of the learning curve in the use of a novel electronic chest drainage system after pulmonary lobectomy: a case-matched analysis on the duration of chest tube usage. Interact Cardiovasc Thorac Surg, 2011, 13(5): 490-493.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Digital drainage system versus traditional drainage system for thoracic drainage after lung surgery: A case control study

Abstract Full text Figures/Tables Video References Cited by

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