دورية أكاديمية
Discharging Patients Home With a Chest Tube and Digital System After Robotic Lung Resection.
| العنوان: | Discharging Patients Home With a Chest Tube and Digital System After Robotic Lung Resection. |
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| المؤلفون: | Geraci TC; Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York. Electronic address: travis.geraci@nyulangone.org., McCormack AJ; Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York., Cerfolio RJ; Department of Cardiothoracic Surgery, New York University Langone Health, New York, New York. |
| المصدر: | The Annals of thoracic surgery [Ann Thorac Surg] 2024 May 23. Date of Electronic Publication: 2024 May 23. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 15030100R Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1552-6259 (Electronic) Linking ISSN: 00034975 NLM ISO Abbreviation: Ann Thorac Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Amsterdam : Elsevier Original Publication: Boston. |
| مستخلص: | Background: Our objective is to assess the feasibility, safety, and outcomes for patients discharged home with a chest tube connected to a digital drainage system after robotic pulmonary resection. Methods: This was a retrospective analysis of a prospectively collected database as a quality improvement initiative. All patients had planned discharge on postoperative day one (POD1) after robotic pulmonary resection. Those with an air leak were discharge home with a chest tube connected to a digital drainage system with daily communication with the surgeon. Results: From January 2019 to February 2023 there were 580 consecutive robotic resections, of which 69 (12%) patients had an air leak on POD1; 38 of 276 (14%) after lobectomy, 24 of 226 (11%) after segmentectomy, and 7 of 78 (9%) after wedge resection. Of these 69 patients, 52 patients (75%) were discharged on POD1, 15 patients (22%) on POD2, and 2 patients (3%) on POD3. Chest tubes were removed a median outpatient chest tube duration was 4 days (interquartile range, 3-5 days). Of the 69 patients sent home with a digital drainage system, there was 1 complication requiring readmission for increasing subcutaneous emphysema. Five patients (7%) had system malfunctions that required return to our clinic for problem-solving. There were no 30- or 90-day mortalities. Conclusions: Patients who undergo robotic pulmonary resection and have an air leak can be safely and effectively discharged on the first postoperative day and managed as an outpatient by using daily texts and or videos with pulse oximetry data on a digital drainage system with limited morbidity. Competing Interests: Disclosures The authors have no conflicts of interest to disclose. (Copyright © 2024 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20240524 Latest Revision: 20240621 |
| رمز التحديث: | 20240621 |
| DOI: | 10.1016/j.athoracsur.2024.05.004 |
| PMID: | 38789008 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1552-6259 |
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| DOI: | 10.1016/j.athoracsur.2024.05.004 |