The advancement of postoperative chest drainage in patients with lung cancer_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WU Yanming ,  CHE Guowei

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R. China;

Corresponding author：

CHE Guowei, Email: cheguowei_hx@aliyun.com

Keywords：

Chest tube; video-assisted thoracic surgery; lung cancer

DOI：

10.7507/1007-4848.201906067

Video：

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Chest tube is routinely used after thoracoscopic lung cancer surgery for evacuating air and fluids. Development of enhanced recovery after surgery (ERAS) makes the disadvantages of traditional drainage clearly. In this review, we summarized the advantages and disadvantages of small-bore chest tube, the use of digital drainage system, the time of removing the chest tube, the indications of non chest tube, the improvements of drainage tube hole suture and the complications of chest tube placement after thoracoscopic lung cancer surgery.

Citation： WU Yanming, CHE Guowei. The advancement of postoperative chest drainage in patients with lung cancer. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(3): 354-358. doi: 10.7507/1007-4848.201906067 Copy

1.	朱军伟, 李印. 肺部分切除术后胸腔引流管拔除时机的现状及进展. 中国微创外科杂志, 2015, 15(4): 373-375.
2.	车国卫. 加速康复外科—人文 or 技术? 中国肺癌杂志, 2018, 21(3): 168-172.
3.	Cooke DT, David EA. Large-bore and small-bore chest tubes: types, function, and placement. Thorac Surg Clin, 2013, 23(1): 17-24.
4.	时辉, 梅龙勇, 车国卫. 肺癌术后胸腔闭式引流术应用的新观念. 中国肺癌杂志, 2010, 13(11): 999-1003.
5.	Shalli S, Saeed D, Fukamachi K, et al. Chest tube selection in cardiac and thoracic surgery: a survey of chest tube-related complications and their management. J Card Surg, 2009, 24(5): 503-509.
6.	杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
7.	马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
8.	周洪霞, 杨梅, 廖虎, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
9.	王毅, 杨彦辉, 罗雷, 等. 单孔胸腔镜肺癌根治术后胸腔引流管的选择. 中华肿瘤防治杂志, 2017, 24(18): 1310-1314.
10.	程少先, 徐文礼, 艾瑞华, 等. 胸腔镜肺叶切除术后两种不同引流方式的临床效果分析. 中国基层医药, 2017, 24(21): 3212-3215.
11.	王永勇, 陈铭伍, 冼磊, 等. 16F胃管作为胸腔引流管对肺癌术后患者疼痛影响的对照研究. 中国胸心血管外科临床杂志, 2018, 25(1): 63-66.
12.	Deng B, Qian K, Zhou JH, et al. Optimization of chest tube management to expedite rehabilitation of lung cancer patients after video-assisted thoracic surgery: a meta-analysis and systematic review. World J Surg, 2017, 41(8): 2039-2045.
13.	Lai Y, Wang X, Zhou H, et al. Is it safe and practical to use a Foley catheter as a chest tube for lung cancer patients after lobectomy? A prospective cohort study with 441 cases. Int J Surg, 2018, 56: 215-220.
14.	Anegg U, Lindenmann J, Matzi V, et al. AIRFIX: the first digital postoperative chest tube airflowmetry--a novel method to quantify air leakage after lung resection. Eur J Cardiothorac Surg, 2006, 29(6): 867-872.
15.	George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis, 2016, 8(Suppl 1): S55-S64.
16.	Pompili C, Detterbeck F, Papagiannopoulos K, et al. Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems. Ann Thorac Surg, 2014, 98(2): 490-496.
17.	Miller DL, Helms GA, Mayfield WR. Digital drainage system reduces hospitalization after video-assisted thoracoscopic surgery lung resection. Ann Thorac Surg, 2016, 102(3): 955-961.
18.	Arai H, Tajiri M, Kameda Y, et al. Evaluation of a digital drainage system (Thopaz) in over 250 cases at a single site: A retrospective case-control study. Clin Respir J, 2018, 12(4): 1454-1459.
19.	赵永生, 刘伦旭. 肺叶切除术后胸腔引流的管理. 中国胸心血管外科临床杂志, 2013, 20(3): 338-342.
20.	McKenna RJ Jr, Mahtabifard A, Pickens A, et al. Fast-tracking after video-assisted thoracoscopic surgery lobectomy, segmentectomy, and pneumonectomy. Ann Thorac Surg, 2007, 84(5): 1663-1667.
21.	Göttgens KW, Siebenga J, Belgers EH, et al. Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies. Eur J Cardiothorac Surg, 2011, 39(4): 575-578.
22.	Nakanishi R, Fujino Y, Kato M, et al. Early chest tube removal after thoracoscopic lobectomy with the aid of an additional thin tube: a prospective multi-institutional study. Gen Thorac Cardiovasc Surg, 2018, 66(12): 723-730.
23.	Nakanishi R, Fujino Y, Yamashita T, et al. A prospective study of the association between drainage volume within 24 hours after thoracoscopic lobectomy and postoperative morbidity. J Thorac Cardiovasc Surg, 2009, 137(6): 1394-1399.
24.	Novoa NM, Jiménez MF, Varela G. When to remove a chest tube. Thorac Surg Clin, 2017, 27(1): 41-46.
25.	Zardo P, Busk H, Kutschka I. Chest tube management: state of the art. Curr Opin Anaesthesiol, 2015, 28(1): 45-49.
26.	Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
27.	Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.
28.	Lu TY, Chen JX, Chen PR, et al. Evaluation of the necessity for chest drain placement following thoracoscopic wedge resection. Surg Today, 2017, 47(5): 606-610.
29.	Steunenberg BE, Aerts BAC, de Groot HGW, et al. Is it still necessary to leave a chest tube after video-assisted pulmonary wedge resection? Indian J Thorac Cardiov Sur, 2017, 33(2): 132-136.
30.	Ueda K, Hayashi M, Tanaka T, et al. Omitting chest tube drainage after thoracoscopic major lung resection. Eur J Cardiothorac Surg, 2013, 44(2): 225-229.
31.	Murakami J, Ueda K, Tanaka T, et al. The validation of a no-drain policy after thoracoscopic major lung resection. Ann Thorac Surg, 2017, 104(3): 1005-1011.
32.	Li P, Shen C, Wu Y, et al. It is safe and feasible to omit the chest tube postoperatively for selected patients receiving thoracoscopic pulmonary resection: a meta-analysis. J Thorac Dis, 2018, 10(5): 2712-2721.
33.	Li S, Jiang L, Ang KL, et al. New tubeless video-assisted thoracoscopic surgery for small pulmonary nodules. Eur J Cardiothorac Surg, 2017, 51(4): 689-693.
34.	Kim MS, Cho JH. A new method of chest drain wound closure using knotless suture material. Ann Thorac Surg, 2017, 103(1): e93-e95.
35.	Yokoyama Y, Nakagomi T, Shikata D, et al. A novel technique for chest drain removal using a two layer method with triclosan-coated sutures. J Thorac Dis, 2017, 9(1): 211-213.
36.	Kao CN, Chang CW, Hsieh MC, et al. Pre-embedding subcutaneous suture for chest-tube insertion in uniportal video-assisted thoracoscopic surgery. J Thorac Dis, 2017, 9(10): E938-E940.
37.	Fu R, Zhang JT, Dong S, et al. Drainage tube hole suture improvement: removal-free stitches. Thorac Cancer, 2019, 10(9): 1827-1833.
38.	刘高远, 甄志鹏, 李永辉. 胸腔镜肺癌根治术后胸腔引流管管理的研究进展. 中国现代医学杂志, 2019, 29(12): 48-52.

1. 朱军伟, 李印. 肺部分切除术后胸腔引流管拔除时机的现状及进展. 中国微创外科杂志, 2015, 15(4): 373-375.
2. 车国卫. 加速康复外科—人文 or 技术? 中国肺癌杂志, 2018, 21(3): 168-172.
3. Cooke DT, David EA. Large-bore and small-bore chest tubes: types, function, and placement. Thorac Surg Clin, 2013, 23(1): 17-24.
4. 时辉, 梅龙勇, 车国卫. 肺癌术后胸腔闭式引流术应用的新观念. 中国肺癌杂志, 2010, 13(11): 999-1003.
5. Shalli S, Saeed D, Fukamachi K, et al. Chest tube selection in cardiac and thoracic surgery: a survey of chest tube-related complications and their management. J Card Surg, 2009, 24(5): 503-509.
6. 杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后 16F 较 28F 胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
7. 马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
8. 周洪霞, 杨梅, 廖虎, 等. 胸腔镜肺叶切除术后 16F 尿管胸腔引流可行性的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 334-340.
9. 王毅, 杨彦辉, 罗雷, 等. 单孔胸腔镜肺癌根治术后胸腔引流管的选择. 中华肿瘤防治杂志, 2017, 24(18): 1310-1314.
10. 程少先, 徐文礼, 艾瑞华, 等. 胸腔镜肺叶切除术后两种不同引流方式的临床效果分析. 中国基层医药, 2017, 24(21): 3212-3215.
11. 王永勇, 陈铭伍, 冼磊, 等. 16F胃管作为胸腔引流管对肺癌术后患者疼痛影响的对照研究. 中国胸心血管外科临床杂志, 2018, 25(1): 63-66.
12. Deng B, Qian K, Zhou JH, et al. Optimization of chest tube management to expedite rehabilitation of lung cancer patients after video-assisted thoracic surgery: a meta-analysis and systematic review. World J Surg, 2017, 41(8): 2039-2045.
13. Lai Y, Wang X, Zhou H, et al. Is it safe and practical to use a Foley catheter as a chest tube for lung cancer patients after lobectomy? A prospective cohort study with 441 cases. Int J Surg, 2018, 56: 215-220.
14. Anegg U, Lindenmann J, Matzi V, et al. AIRFIX: the first digital postoperative chest tube airflowmetry--a novel method to quantify air leakage after lung resection. Eur J Cardiothorac Surg, 2006, 29(6): 867-872.
15. George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis, 2016, 8(Suppl 1): S55-S64.
16. Pompili C, Detterbeck F, Papagiannopoulos K, et al. Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems. Ann Thorac Surg, 2014, 98(2): 490-496.
17. Miller DL, Helms GA, Mayfield WR. Digital drainage system reduces hospitalization after video-assisted thoracoscopic surgery lung resection. Ann Thorac Surg, 2016, 102(3): 955-961.
18. Arai H, Tajiri M, Kameda Y, et al. Evaluation of a digital drainage system (Thopaz) in over 250 cases at a single site: A retrospective case-control study. Clin Respir J, 2018, 12(4): 1454-1459.
19. 赵永生, 刘伦旭. 肺叶切除术后胸腔引流的管理. 中国胸心血管外科临床杂志, 2013, 20(3): 338-342.
20. McKenna RJ Jr, Mahtabifard A, Pickens A, et al. Fast-tracking after video-assisted thoracoscopic surgery lobectomy, segmentectomy, and pneumonectomy. Ann Thorac Surg, 2007, 84(5): 1663-1667.
21. Göttgens KW, Siebenga J, Belgers EH, et al. Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies. Eur J Cardiothorac Surg, 2011, 39(4): 575-578.
22. Nakanishi R, Fujino Y, Kato M, et al. Early chest tube removal after thoracoscopic lobectomy with the aid of an additional thin tube: a prospective multi-institutional study. Gen Thorac Cardiovasc Surg, 2018, 66(12): 723-730.
23. Nakanishi R, Fujino Y, Yamashita T, et al. A prospective study of the association between drainage volume within 24 hours after thoracoscopic lobectomy and postoperative morbidity. J Thorac Cardiovasc Surg, 2009, 137(6): 1394-1399.
24. Novoa NM, Jiménez MF, Varela G. When to remove a chest tube. Thorac Surg Clin, 2017, 27(1): 41-46.
25. Zardo P, Busk H, Kutschka I. Chest tube management: state of the art. Curr Opin Anaesthesiol, 2015, 28(1): 45-49.
26. Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
27. Nakashima S, Watanabe A, Mishina T, et al. Feasibility and safety of postoperative management without chest tube placement after thoracoscopic wedge resection of the lung. Surg Today, 2011, 41(6): 774-779.
28. Lu TY, Chen JX, Chen PR, et al. Evaluation of the necessity for chest drain placement following thoracoscopic wedge resection. Surg Today, 2017, 47(5): 606-610.
29. Steunenberg BE, Aerts BAC, de Groot HGW, et al. Is it still necessary to leave a chest tube after video-assisted pulmonary wedge resection? Indian J Thorac Cardiov Sur, 2017, 33(2): 132-136.
30. Ueda K, Hayashi M, Tanaka T, et al. Omitting chest tube drainage after thoracoscopic major lung resection. Eur J Cardiothorac Surg, 2013, 44(2): 225-229.
31. Murakami J, Ueda K, Tanaka T, et al. The validation of a no-drain policy after thoracoscopic major lung resection. Ann Thorac Surg, 2017, 104(3): 1005-1011.
32. Li P, Shen C, Wu Y, et al. It is safe and feasible to omit the chest tube postoperatively for selected patients receiving thoracoscopic pulmonary resection: a meta-analysis. J Thorac Dis, 2018, 10(5): 2712-2721.
33. Li S, Jiang L, Ang KL, et al. New tubeless video-assisted thoracoscopic surgery for small pulmonary nodules. Eur J Cardiothorac Surg, 2017, 51(4): 689-693.
34. Kim MS, Cho JH. A new method of chest drain wound closure using knotless suture material. Ann Thorac Surg, 2017, 103(1): e93-e95.
35. Yokoyama Y, Nakagomi T, Shikata D, et al. A novel technique for chest drain removal using a two layer method with triclosan-coated sutures. J Thorac Dis, 2017, 9(1): 211-213.
36. Kao CN, Chang CW, Hsieh MC, et al. Pre-embedding subcutaneous suture for chest-tube insertion in uniportal video-assisted thoracoscopic surgery. J Thorac Dis, 2017, 9(10): E938-E940.
37. Fu R, Zhang JT, Dong S, et al. Drainage tube hole suture improvement: removal-free stitches. Thorac Cancer, 2019, 10(9): 1827-1833.
38. 刘高远, 甄志鹏, 李永辉. 胸腔镜肺癌根治术后胸腔引流管管理的研究进展. 中国现代医学杂志, 2019, 29(12): 48-52.

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