دورية أكاديمية
أعرض في EDS

The process and safety of removing chest tubes 4 to 12 hours after robotic pulmonary lobectomy and segmentectomy.

التفاصيل البيبلوغرافية
العنوان: The process and safety of removing chest tubes 4 to 12 hours after robotic pulmonary lobectomy and segmentectomy.
المؤلفون: McCormack AJ; Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY., El Zaeedi M; Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY., Geraci TC; Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY., Cerfolio RJ; Department of Cardiothoracic Surgery, NYU Langone Health, New York, NY.
المصدر: JTCVS open [JTCVS Open] 2023 Sep 26; Vol. 16, pp. 909-915. Date of Electronic Publication: 2023 Sep 26 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: Netherlands NLM ID: 101768541 Publication Model: eCollection Cited Medium: Internet ISSN: 2666-2736 (Electronic) Linking ISSN: 26662736 NLM ISO Abbreviation: JTCVS Open Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: [Amsterdam, The Netherlands] : Elsevier Ltd., [2020]-
مستخلص: Objective: Chest tubes cause pain and morbidity.
Methods: This is a quality initiative study and review of patients who underwent robotic pulmonary resection by 1 surgeon (R.J.C.). The goal was to remove chest tubes within 4 to 12 hours after robotic segmentectomy and lobectomy. Primary outcome was removal without the need for reinsertion, thoracentesis, or any morbidity due to early removal of the chest tube. Secondary outcomes were symptomatic pneumothorax, pleural effusion, chylothorax, subcutaneous emphysema, and chest tube reinsertion or thoracentesis within 60 days of surgery.
Results: Between January 2018 and December 2022, 590 patients underwent robotic lobectomy or segmentectomy. Chest tubes were removed within 4 to 12 hours postoperatively in 63.5% of patients (375/590). In 2022, this was achieved in 91% after lobectomy (119/128) and 94% after segmentectomy (75/80). There were significantly more chest tubes removed within 4 to 12 hours postoperatively from 2020 to 2022 than pre-2020 ( P  < .001). Forty patients (6.8%) were discharged home on postoperative day 1 with a chest tube. Sixteen patients (2.7%) had post-chest tube removal increasing pneumothorax and subcutaneous emphysema; none required tube reinsertion. There was no 30-day or 90-day mortality. Twelve patients (2%) had an outpatient thoracentesis for effusion within 60 days. Twenty patients (3.3%) were readmitted, none seemingly related to effusions. Nonsmokers ( P  = .04) and segmentectomy ( P  = .001) were associated with chest tube removal within 4 to 12 hours of surgery.
Conclusions: Chest tubes can be safely removed within 4 to 12 hours after robotic segmentectomy and lobectomy. Factors associated with successful early chest tube removal are nonsmoking, segmentectomy, and team members becoming comfortable with the process.
Competing Interests: The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.
(© 2023 The Author(s).)
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فهرسة مساهمة: Keywords: chest tube removal; robotic pulmonary resection
تواريخ الأحداث: Date Created: 20240111 Latest Revision: 20240112
رمز التحديث: 20240112
مُعرف محوري في PubMed: PMC10775092
DOI: 10.1016/j.xjon.2023.09.028
PMID: 38204643
قاعدة البيانات: MEDLINE
الوصف
تدمد:2666-2736
DOI:10.1016/j.xjon.2023.09.028