دورية أكاديمية
أعرض في EDS

Safety of one 8.5-Fr pigtail catheter for postoperative continuous open gravity drainage after uniportal video-assisted thoracoscopic surgery pneumonectomy.

التفاصيل البيبلوغرافية
العنوان: Safety of one 8.5-Fr pigtail catheter for postoperative continuous open gravity drainage after uniportal video-assisted thoracoscopic surgery pneumonectomy.
المؤلفون: Kong XL; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Zhang Y; Department of Area B, ICU, The Second Affiliated Hospital of Harbin Medical University, Harbin, China., Jia Y; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Ni BX; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Wang M; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Jin XY; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Xu H; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China., Xu SD; Department of Thoracic Surgery, Harbin Medical University Cancer Hospital, No. 150, Hapin Road, Harbin, 150081, China. xusd163@163.com.
المصدر: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2024 Jul 18; Vol. 19 (1), pp. 457. Date of Electronic Publication: 2024 Jul 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101265113 Publication Model: Electronic Cited Medium: Internet ISSN: 1749-8090 (Electronic) Linking ISSN: 17498090 NLM ISO Abbreviation: J Cardiothorac Surg Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Pneumonectomy*/methods , Pneumonectomy*/instrumentation , Pneumonectomy*/adverse effects , Thoracic Surgery, Video-Assisted*/methods , Drainage*/methods , Drainage*/instrumentation , Lung Neoplasms*/surgery, Humans ; Male ; Middle Aged ; Female ; Retrospective Studies ; Aged ; Postoperative Complications ; Adult ; Chest Tubes ; Catheters ; Postoperative Care/methods
مستخلص: Objectives: Uniportal video-assisted thoracoscopic surgery pneumonectomy (U-VATS-P) is feasible and safe from a perioperative standpoint. How to choose the proper chest tube and drainage method is important in enhanced recovery after surgery (ERAS) protocols. In this study, we aimed to assess the safety of one 8.5-Fr (1Fr = 0.333 mm) pigtail catheter for postoperative continuous open gravity drainage after U-VATS-P.
Methods: We retrospectively reviewed a single surgeon's experience with U-VATS-P for lung cancer from May 2016 to September 2022. Patients were managed with one 8.5-Fr pigtail catheter for postoperative continuous open gravity drainage after U-VATS-P. The clinical characteristics and perioperative outcomes of the patients were retrospectively analyzed.
Results: In total, 77 patients had one 8.5-Fr pigtail catheter placed for postoperative continuous open gravity drainage after U-VATS-P for lung cancer. The mean age was 60.9±7.39 (40-76) years; The mean FEV1 was 2.1±0.6 (l/s), and the mean FEV1% was 71.2±22.7. The median operative time was 191.38±59.32 min; the mean operative hemorrhage was 109.46±96.56 ml; the mean duration of postoperative chest tube drainage was 6.80±2.33 days; the mean drainage volumes in the first three days after operation were 186.31±50.97, 321.97±52.03, and 216.44±35.67 ml, respectively; and the mean postoperative hospital stay was 7.90±2.58 days. No patient experienced complications resulting from chest tube malfunction. Ten patients experienced minor complications. One patient with nonlife-threatening empyema and bronchopleural fistula required short rehospitalization for anti-inflammatory therapy and reintubation. Three patients with chylothorax were treated with intravenous nutrition. Four patients had atrial fibrillation that was controlled by antiarrhythmic therapy. Two patients had more thoracic hemorrhagic exudation after the operation, which was found in time and was cured effectively, so they were discharged from the hospital uneventfully after early hemostatic therapy and nutritional support.
Conclusions: All patients in this study received early postoperative rehabilitation, and the rate of relevant complications was low. We therefore recommend a single 8.5-Fr pigtail catheter for postoperative continuous open gravity drainage as an effective, safe and reliable drainage method for the management of U-VATS-P.
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Chest tube; Pneumonectomy; Postoperative drainage; Uniportal video-assisted thoracoscopic surgery
تواريخ الأحداث: Date Created: 20240718 Date Completed: 20240719 Latest Revision: 20240721
رمز التحديث: 20240721
مُعرف محوري في PubMed: PMC11256783
DOI: 10.1186/s13019-024-02894-6
PMID: 39026246
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-8090
DOI:10.1186/s13019-024-02894-6