Optimized Thoracic Drainage Strategy After Da Vinci Robot-assisted Thoracic Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HEZhe-hao , YANGYun-hai , ZHANGChong , WANGLu-ming , Azmat·Rustam, , LVWang ,  HUJian

Department of Thoracic Surgery, The First Affiliated Hospital, Zhejiang University, Hangzhou 310003, P. R. China;

Corresponding?author：

HUJian, Email: hujian_med@163.com

Keywords：

Robot surgery; Chest surgery; Chest drainage; Pain score

DOI：

10.7507/1007-4848.20150230

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective We aimed to further investigate the feasibility of using small bore chest tubes or even without chest tube insertion after da Vinci robot-assisted thoracic surgery. Methods We retrospectively analyzed initial 70 patients between September 12, 2014 and March 30, 2015 as a control group at the department of thoracic surgery, the First Affiliated Hospital of Zhejiang University, and proposed four schemes. There are 31 males and 39 females with mean age of 57.1±9.8 (ranged from 30-80 years). We applied those four schemes for the last 30 patients as an experimental group. There are 12 males and 18 females with mean age of 58.8±8.1 (ranged 42-73 years). Results The days in hospital after surgery ranged 2-25 days and there was no severe complication. After the surgery, the pain scores of the trial group are lower than that of the control group. And the schemes 1 and schemes 2 of trial group reduced significantly than the control group (P<0.05). There is no significant difference of the rate of the complication caused by poor drainage between the trial group and the control group (P>0.05). But the pain score after surgery is lower than that of the control group (P<0.05). Conclusion Optimizing thoracic drainage strategy after da Vinci robot-assisted thoracic surgery is safe, possible and helpful to relieve postoperative pain.

Citation： HEZhe-hao, YANGYun-hai, ZHANGChong, WANGLu-ming, Azmat·Rustam,, LVWang, HUJian. Optimized Thoracic Drainage Strategy After Da Vinci Robot-assisted Thoracic Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 919-922. doi: 10.7507/1007-4848.20150230 Copy

1.	王述民,許世廣,童向東等.機器人肺葉切除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2013,20(3):308-311.
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7.	Mao M,Hughes R,Papadimos TJ,et al.Complications of chest tubes:a focused clinical synopsis.CurrOpinPulm Med,2015,21(4):376-386.
8.	Cerfolio RJ,Bryant AS.The management of chest tubes after pulmonary resection.Thorac Surg Clin,2010,20(3):299-405.
9.	涂遠榮,楊劼,劉彥國等.中國手汗癥微創治療專家共識.中華胸心血管外科雜志,2011,27(8):449-451.
10.	Zardo P,Busk H,Kutschka I.Chest tube management:state of the art.Curr Opin Anaesthesiol,2015,28(1):45-49.
11.	Giuseppe Spinoglio.Robotic SurgeryCurrent Applications and New Trends.Robotic Surgery,2015:15-176.
12.	Byrn JC,Schluender S,Divino CM,et al.Three-dimensional imaging improves surgical performance for both novice an experienced operators using the da Vinci Robot System.Am J Surg,2007,193(4):519-522.
13.	Bodner J,Wykypiel H,Greiner A,et al.Early experience with robotassisted surgery for mediastinal masses.Ann Thorac Surg,2004,78(1):259-265.
14.	張大坤,許世廣,丁仁泉等.達芬奇機器人手術與胸腔鏡輔助小切口手術對肺手術患者創傷對比分析.創傷與急危重病醫學,2014,2(5):296-300.
15.	Kehlet H,Wilmore D W.Evidence-based surgical care and the evolution of fast-track surgery.Ann Surg,2008,248(2):189-198.
16.	Jiang K,Cheng L,Wang JJ,et al.Fast track clinical pathway implications in esophagogastrectomy.World J Gastroenterol,2009,15(4):496-501.
17.	Burckhardt CS,Jones KD.Adult measures of pain:The McGill Pain Questionnaire(MPQ),Rheumatoid Arthritis Pain Scale(RAPS),Short-Form McGill Pain Questionnaire(SF-MPQ),Verbal Descriptive Scale(VDS),Visual Analog Scale(VAS),and West Haven-Yale Multidisciplinary Pain Inventory(WHYMPI).Arthritis Rheu 2003,49:S96-S104.
18.	Wall PD,主編.疼痛學.沈陽:遼寧教育出版社,2000.283-294.

1. 王述民,許世廣,童向東等.機器人肺葉切除術治療非小細胞肺癌.中國胸心血管外科臨床雜志,2013,20(3):308-311.
2. 葉波,馮鍵,陳銘等.達芬奇機器人縱隔腫物切除術23例臨床分析.中國微創外科雜志,2013,13(5):392-393,397.
3. 劉倫旭,車國衛,蒲強,等.單向式全胸腔鏡肺葉切除術.中華胸心血管外科雜志,2008,24(3):156-158.
4. McCormack HM,Horne DJ,Sheather S.Clinical applications of visual analogue scales:a critical review.Psychol Med 1988,18:1007-19.
5. Bejjani J,Fiore JF Jr,Lee L,et al.Validity of the EuroQol-5 dimensions as a measure of recovery after pulmonary resection.J Surg Res,2015,194(1):281-288.
6. Edward R.Thoracic drainage.Ann ThoracSurg,1997,63(5):1497-1502.
7. Mao M,Hughes R,Papadimos TJ,et al.Complications of chest tubes:a focused clinical synopsis.CurrOpinPulm Med,2015,21(4):376-386.
8. Cerfolio RJ,Bryant AS.The management of chest tubes after pulmonary resection.Thorac Surg Clin,2010,20(3):299-405.
9. 涂遠榮,楊劼,劉彥國等.中國手汗癥微創治療專家共識.中華胸心血管外科雜志,2011,27(8):449-451.
10. Zardo P,Busk H,Kutschka I.Chest tube management:state of the art.Curr Opin Anaesthesiol,2015,28(1):45-49.
11. Giuseppe Spinoglio.Robotic SurgeryCurrent Applications and New Trends.Robotic Surgery,2015:15-176.
12. Byrn JC,Schluender S,Divino CM,et al.Three-dimensional imaging improves surgical performance for both novice an experienced operators using the da Vinci Robot System.Am J Surg,2007,193(4):519-522.
13. Bodner J,Wykypiel H,Greiner A,et al.Early experience with robotassisted surgery for mediastinal masses.Ann Thorac Surg,2004,78(1):259-265.
14. 張大坤,許世廣,丁仁泉等.達芬奇機器人手術與胸腔鏡輔助小切口手術對肺手術患者創傷對比分析.創傷與急危重病醫學,2014,2(5):296-300.
15. Kehlet H,Wilmore D W.Evidence-based surgical care and the evolution of fast-track surgery.Ann Surg,2008,248(2):189-198.
16. Jiang K,Cheng L,Wang JJ,et al.Fast track clinical pathway implications in esophagogastrectomy.World J Gastroenterol,2009,15(4):496-501.
17. Burckhardt CS,Jones KD.Adult measures of pain:The McGill Pain Questionnaire(MPQ),Rheumatoid Arthritis Pain Scale(RAPS),Short-Form McGill Pain Questionnaire(SF-MPQ),Verbal Descriptive Scale(VDS),Visual Analog Scale(VAS),and West Haven-Yale Multidisciplinary Pain Inventory(WHYMPI).Arthritis Rheu 2003,49:S96-S104.
18. Wall PD,主編.疼痛學.沈陽:遼寧教育出版社,2000.283-294.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Optimized Thoracic Drainage Strategy After Da Vinci Robot-assisted Thoracic Surgery

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