Effect of metal-supported multi-sided foramen ultrafine drainage tube on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic upper lobectomy: A retrospective study in a single center_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Zhiwei ^1,2,3,4 , HU Wenteng ^1,2,3,4 , MA Minjie ^1,2,3,4 , LIN Ruijiang ^1,2,3,4 , LI Qiong ¹ , WANG Chenhan ^1,2,3,4 ,  HAN Biao ^2,3,4

1. The First Clinical Medical College of Lanzhou University, Lanzhou, 730000, P. R. China;
2. Department of Thoracic Surgery, The First Hospital of Lanzhou University, Lanzhou, 730000, P. R. China;
3. Major in Research and Development and Application of Key Technologies in Thoracic Surgery Gansu International Science and Technology Cooperation Base, Lanzhou, 730000, P. R. China;
4. Gansu Provincial Medical Quality Control Center of Thoracic Surgery, Lanzhou, 730000, P. R. China;

Corresponding author：

HAN Biao, Email: hanbiao66@163.com

Keywords：

Ultrafine drainage tube; uniportal video-assisted thoracoscopic surgery; upper lobectomy; thoracic residual cavity

DOI：

10.7507/1007-4848.202206068

Video：

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Objective To investigate the effect of multi-sided foramen ultrafine drainage tube with metal support on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic (VATS) upper lobectomy. Methods The clinical data of the patients who underwent uniportal VATS upper lobectomy for lung cancer in the Department of Thoracic Surgery of the First Hospital of Lanzhou University from January 2021 to April 2022 were retrospectively analyzed. According to the type of ultrafine drainage tube used in the surgery, the patients were divided into a test group (using metal-supported multi-sided foramen ultrafine drainage tube) and a control group (using ordinary 12F ultrafine drainage tube). The incidence of postoperative thoracic residual cavity and operation-related data were compared between the two groups. Results A total of 200 patients were enrolled, including 126 males and 74 females, with a mean age of 57.52 years. There were 90 patients in the test group, and 110 patients in the control group. The incidence of postoperative thoracic residual cavity in the test group was lower than that in the control group (P=0.045). The differences in the postoperative bedtime, postoperative visual analogue scale, postoperative analgesic pump using time, postoperative hospitalization time, times of postoperative thoracentration and drainage, postoperative drainage time and hospitalization cost between the two groups were statistically significant (P<0.05). The incidences of postoperative lung infection, pleural effusion and atelectasis complications were lower in the test group than those in the control group (P<0.05). The differences in the preoperative anesthesia time, operation time, intraoperative bleeding and postoperative lung leakage were not statistically significant (P>0.05). Conclusion The use of multi-sided foramen ultrafine drainage tube with metal support can reduce the incidence of thoracic residual cavity after uniportal VATS upper lobectomy, and can reduce pain and economical burdens and the incidence of operation-related complications, accelerating the recovery of patients after surgery. The application of multi-sided foramen ultrafine drainage tube with metal support in uniportal VATS upper lobectomy can be widely used in the clinic.

Citation： HAN Zhiwei, HU Wenteng, MA Minjie, LIN Ruijiang, LI Qiong, WANG Chenhan, HAN Biao. Effect of metal-supported multi-sided foramen ultrafine drainage tube on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic upper lobectomy: A retrospective study in a single center. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(3): 397-402. doi: 10.7507/1007-4848.202206068 Copy

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2.	常秀军, 段勇, 王子彤, 等. 电视辅助胸腔镜肺叶切除术后胸腔引流管型号选择的临床分析. 中国医刊, 2021, 56(12): 1350-1352.
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14.	任继美, 李春香, 邬会超, 等. 带导向和固定装置的双腔中心静脉导管胸腔闭式引流术对胸腔镜肺叶切除术NSCLC患者预后的影响. 中外医学研究, 2022, 20(4): 105-108.
15.	Rakovich G, Bblahmira G, Woodall WH, et al. Learning curve for completely thoracoscopic anatomic sublobar resection. Minerva Surg, 2022, 77(2): 101-108.
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18.	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.
19.	王希龙, 吴子恒, 许世广, 等. 快速康复外科理念在达芬奇机器人肺癌根治手术中应用价值研究. 临床军医杂志, 2020, 48(3): 253-256.
20.	Huang J, Tian Y, Zhou QJ, et al. Comparison of perioperative outcomes of robotic-assisted versus video-assisted thoracoscopic right upper lobectomy in non-small cell lung cancer. Transl Lung Cancer Res, 2021, 10(12): 4549-4557.
21.	Eckardt J, Lijkendijk M, Licht PB. A Newly developed chest drainage unit with an integrated CO₂ detector. Surg Technol Int, 2020, 28(37): 23-26.

1. 孟繁贇. 非小细胞肺癌超细引流管辅助胸腔镜肺叶切除术的临床疗效分析. 当代医学, 2021, 27(24): 83-85.
2. 常秀军, 段勇, 王子彤, 等. 电视辅助胸腔镜肺叶切除术后胸腔引流管型号选择的临床分析. 中国医刊, 2021, 56(12): 1350-1352.
3. 丁翔, 王保明. 超细引流管在单孔胸腔镜肺叶切除手术后放置位置的初步探讨. 安徽医学, 2021, 42(8): 896-899.
4. 王龙飞. 超细引流管在胸腔镜辅助肺叶/亚肺叶切除术中的应用效果分析. 大连医科大学, 2020.
5. Yao Y, Hua Q, Liu S, et al. Efficacy of multi-groove silicone drains in single-port video-assisted thoracoscopic lung cancer surgery and their effect on C-reactive protein: A single-center experience. J Thorac Dis, 2021, 13(12): 6885-6896.
6. Mendogni P, Tosi D, Marulli G, et al. Multicenter randomized controlled trial comparing digital and traditional chest drain in a VATS pulmonary lobectomy cohort: Interim analysis. J Cardiothorac Surg, 2021, 16(1): 188.
7. 曹雄. 超细引流管联合椎旁神经阻滞在非小细胞肺癌肺叶切除术中的应用. 兰州大学, 2020.
8. 谢延坤. 单胸管引流在非小细胞肺癌患者胸腔镜上肺叶切除术后的应用效果. 新乡医学院学报, 2021, 38(7): 681-684.
9. 支青, 朱士彬, 陈磊, 等. 肺上叶切除术后单胸腔引流管和双胸腔引流管的应用比较. 实用临床医药杂志, 2020, 24(19): 73-75.
10. Yang Z, Hu T, Shen H, et al. Application of small-bore pigtail catheter to improve pleural drainage after single-incision thoracoscopic lobectomy for lung cancer. ANZ J Surg, 2020, 90(1-2): 139-143.
11. Van Der Ploeg APT, Ayez N, Akkersdijk GP, et al. Postoperative pain after lobectomy: Robot-assisted, video-assisted and open thoracic surgery. J Robot Surg, 2020, 14(1): 131-136.
12. 姚益, 谢晓阳, 李季, 等. 改良中心静脉导管在单孔胸腔镜亚肺叶切除术后引流中的应用效果. 中国医药导报, 2022, 19(08): 121-125.
13. Song Y, Zheng C, Zhou S, et al. The application analysis of 8F ultrafine chest drainage tube for thoracoscopic lobectomy of lung cancer. J Cardiothorac Surg, 2021, 16(1): 104.
14. 任继美, 李春香, 邬会超, 等. 带导向和固定装置的双腔中心静脉导管胸腔闭式引流术对胸腔镜肺叶切除术NSCLC患者预后的影响. 中外医学研究, 2022, 20(4): 105-108.
15. Rakovich G, Bblahmira G, Woodall WH, et al. Learning curve for completely thoracoscopic anatomic sublobar resection. Minerva Surg, 2022, 77(2): 101-108.
16. Pfeuty K, Lenot B. Early postoperative day 0 chest tube removal using a digital drainage device protocol after thoracoscopic major pulmonary resection. Interact Cardiovasc Thorac Surg, 2020, 31(5): 657-663.
17. Motono N, Iwai S, Funasaki A, et al. What is the allowed volume threshold for chest tube removal after lobectomy: A randomized controlled trial. Ann Med Surg (Lond), 2019, 30(43): 29-32.
18. 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.
19. 王希龙, 吴子恒, 许世广, 等. 快速康复外科理念在达芬奇机器人肺癌根治手术中应用价值研究. 临床军医杂志, 2020, 48(3): 253-256.
20. Huang J, Tian Y, Zhou QJ, et al. Comparison of perioperative outcomes of robotic-assisted versus video-assisted thoracoscopic right upper lobectomy in non-small cell lung cancer. Transl Lung Cancer Res, 2021, 10(12): 4549-4557.
21. Eckardt J, Lijkendijk M, Licht PB. A Newly developed chest drainage unit with an integrated CO₂ detector. Surg Technol Int, 2020, 28(37): 23-26.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Effect of metal-supported multi-sided foramen ultrafine drainage tube on the formation of thoracic residual cavity after uniportal video-assisted thoracoscopic upper lobectomy: A retrospective study in a single center

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