Application of tubless therapy in the treatment of pulmonary bulla resection_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CAO Xiong ^1,2 ,  HAN Biao ¹ , MA Minjie ¹ , LIN Ruijiang ¹ , ZHANG Yu ¹

1. The First Hospital, Lanzhou University, Lanzhou, 730000, P.R.China;
2. First Clinical Medical College, Lanzhou University, Lanzhou, 730000, P.R.China;

Corresponding author：

HAN Biao, Email: hanbiao66@163.com

Keywords：

Fast track surgery; tubless therapy; pulmonary bulla resection

DOI：

10.7507/1007-4848.201805009

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the efficacy of tubless therapy for pulmonary bulla resection under the concept of fast track surgery.Methods We retrospectively analyzed the clinical data of 45 patients (29 males and 16 females at an average age of 26.1 years) with pulmonary bullae in our hospital between January 2015 and December 2017. These patients were divided into two groups. Among them, 25 patients were treated with preoperative gastric tubes and catheters, tracheal intubation anesthesia and postoperative drainage tubes (a tube group). And 20 patients were treated with no preoperative gastric tube or catheter, sublaryngeal anesthesia and no postoperative drainage tube (a tubless group). Results There was a statistical difference in postoperative pain index (2.60±1.14 vs. 5.16±1.24, P<0.001) and larynx complication (P=0.00) between the two groups. Shorter period of epidural analgesic tubes (1.40±0.50 d vs. 2.84±0.75 d, P<0.001), shorter operation and anesthesia time (15.00±2.59 min vs. 18.56±2.10 min, P<0.001; 95.30±4.38 min vs. 105.50±4.59 min, P<0.001), shorter hospital stay (9.45±1.66 d vs. 12.80±1.87 d, P<0.001), and less expense (20 245.96±1 113.02 yuan vs. 22 147.06±1 735.01 yuan, P<0.001) in the tubless group were found compared with the tube group. But there was no statistical difference in incidence of complication of lung (P=0.43) between the two groups.Conclusion Tubless therapy in the treatment of pulmonary bulla resection can accelerate the postoperative recovery with shorter hospital stay and less expense, and is an advantageous treatment.

Citation： CAO Xiong, HAN Biao, MA Minjie, LIN Ruijiang, ZHANG Yu. Application of tubless therapy in the treatment of pulmonary bulla resection. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(5): 436-439. doi: 10.7507/1007-4848.201805009 Copy

1.	MacDuff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax, 2010, 65(Suppl 2): i18-i31.
2.	聂军, 贺大璞, 王元星, 等. 胸腔镜治疗自发性气胸75例. 中国内镜杂志, 2006, 12(6): 650-650, 655.
3.	Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
4.	Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
5.	Spadoni GF, Stratford PW, Solomon PE, et al. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sports Phys Ther, 2004, 34(4): 187-193.
6.	Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients. Ann Thorac Surg, 2003, 76(5): 1661-1663.
7.	贺大璞, 龙超众, 韦兵, 等. 136例胸腔镜手术临床应用分析. 中国内镜杂志, 2009, 15(4): 392-394.
8.	Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest, 2005, 127(6): 2226-2230.
9.	程亮, 陈振强, 于裕, 等. 单孔电视胸腔镜治疗老年人自发性气胸的临床疗效观察. 现代生物医学进展, 2014, 14(34): 6693-6696.
10.	Sihoe AD, Hsin MK, Yu PS. Need lescopic video- assisted thoracic surgery pleurodesis for primary pneumothorax. Multimed Man Cardiothorac Sur g, 2014, 44(25): 221-225.
11.	刘成武, 刘伦旭. 肺癌微创外科治疗进展. 中华胸部外科电子杂志, 2016, 3(2): 65-69+59.
12.	吴一旻, 柴莹. 单孔胸腔镜在肺癌外科中的应用进展. 国际外科学杂志, 2016, 43(5): 357-360.
13.	熊焱正, 熊焱正, 刘建, 等. 单孔胸腔镜在肺部疾病中的临床应用. 安徽医药, 2017, 21(6): 1054-1057.
14.	Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 14-21.
15.	向润, 谢天鹏, 杨晓军, 等. 开放肺叶切除术后切口镇痛泵的临床效果. 中华胸心血管外科杂志, 2015, 31(1): 43, 54.
16.	马俊杰, 高德军. 不同管径胸腔引流管在肺叶切除术后的临床应用比较. 中华胸部外科电子杂志, 2016, 3(3): 156-159.
17.	李云峰, 王建利, 李国, 等. 快速康复外科在肺大疱切除治疗中的应用. 中国医药指南, 2015, 13(26): 28-29.

1. MacDuff A, Arnold A, Harvey J, et al. Management of spontaneous pneumothorax: British Thoracic Society Pleural Disease Guideline 2010. Thorax, 2010, 65(Suppl 2): i18-i31.
2. 聂军, 贺大璞, 王元星, 等. 胸腔镜治疗自发性气胸75例. 中国内镜杂志, 2006, 12(6): 650-650, 655.
3. Wilmore DW, Kehlet H. Management of patients in fast track surgery. BMJ, 2001, 322(7284): 473-476.
4. Kehlet H, Wilmore DW. Multimodal strategies to improve surgical outcome. Am J Surg, 2002, 183(6): 630-641.
5. Spadoni GF, Stratford PW, Solomon PE, et al. The evaluation of change in pain intensity: a comparison of the P4 and single-item numeric pain rating scales. J Orthop Sports Phys Ther, 2004, 34(4): 187-193.
6. Margolis M, Gharagozloo F, Tempesta B, et al. Video-assisted thoracic surgical treatment of initial spontaneous pneumothorax in young patients. Ann Thorac Surg, 2003, 76(5): 1661-1663.
7. 贺大璞, 龙超众, 韦兵, 等. 136例胸腔镜手术临床应用分析. 中国内镜杂志, 2009, 15(4): 392-394.
8. Sawada S, Watanabe Y, Moriyama S. Video-assisted thoracoscopic surgery for primary spontaneous pneumothorax: evaluation of indications and long-term outcome compared with conservative treatment and open thoracotomy. Chest, 2005, 127(6): 2226-2230.
9. 程亮, 陈振强, 于裕, 等. 单孔电视胸腔镜治疗老年人自发性气胸的临床疗效观察. 现代生物医学进展, 2014, 14(34): 6693-6696.
10. Sihoe AD, Hsin MK, Yu PS. Need lescopic video- assisted thoracic surgery pleurodesis for primary pneumothorax. Multimed Man Cardiothorac Sur g, 2014, 44(25): 221-225.
11. 刘成武, 刘伦旭. 肺癌微创外科治疗进展. 中华胸部外科电子杂志, 2016, 3(2): 65-69+59.
12. 吴一旻, 柴莹. 单孔胸腔镜在肺癌外科中的应用进展. 国际外科学杂志, 2016, 43(5): 357-360.
13. 熊焱正, 熊焱正, 刘建, 等. 单孔胸腔镜在肺部疾病中的临床应用. 安徽医药, 2017, 21(6): 1054-1057.
14. Liu CY, Lin CS, Shih CH, et al. Single-port video-assisted thoracoscopic surgery for lung cancer. J Thorac Dis, 2014, 6(1): 14-21.
15. 向润, 谢天鹏, 杨晓军, 等. 开放肺叶切除术后切口镇痛泵的临床效果. 中华胸心血管外科杂志, 2015, 31(1): 43, 54.
16. 马俊杰, 高德军. 不同管径胸腔引流管在肺叶切除术后的临床应用比较. 中华胸部外科电子杂志, 2016, 3(3): 156-159.
17. 李云峰, 王建利, 李国, 等. 快速康复外科在肺大疱切除治疗中的应用. 中国医药指南, 2015, 13(26): 28-29.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of tubless therapy in the treatment of pulmonary bulla resection

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content