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.	常秀軍, 段勇, 王子彤, 等. 電視輔助胸腔鏡肺葉切除術后胸腔引流管型號選擇的臨床分析. 中國醫刊, 2021, 56(12): 1350-1352.
3.	丁翔, 王保明. 超細引流管在單孔胸腔鏡肺葉切除手術后放置位置的初步探討. 安徽醫學, 2021, 42(8): 896-899.
4.	王龍飛. 超細引流管在胸腔鏡輔助肺葉/亞肺葉切除術中的應用效果分析. 大連醫科大學, 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.
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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, 謝曉陽, 李季, 等. 改良中心靜脈導管在單孔胸腔鏡亞肺葉切除術后引流中的應用效果. 中國醫藥導報, 2022, 19(08): 121-125.
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14.	任繼美, 李春香, 鄔會超, 等. 帶導向和固定裝置的雙腔中心靜脈導管胸腔閉式引流術對胸腔鏡肺葉切除術NSCLC患者預后的影響. 中外醫學研究, 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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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.	馬俊杰, 高德軍. 不同管徑胸腔引流管在肺葉切除術后的臨床應用比較. 中華胸部外科電子雜志, 2016, 3(3): 156-159.
19.	王希龍, 吳子恒, 許世廣, 等. 快速康復外科理念在達芬奇機器人肺癌根治手術中應用價值研究. 臨床軍醫雜志, 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. 非小細胞肺癌超細引流管輔助胸腔鏡肺葉切除術的臨床療效分析. 當代醫學, 2021, 27(24): 83-85.
2. 常秀軍, 段勇, 王子彤, 等. 電視輔助胸腔鏡肺葉切除術后胸腔引流管型號選擇的臨床分析. 中國醫刊, 2021, 56(12): 1350-1352.
3. 丁翔, 王保明. 超細引流管在單孔胸腔鏡肺葉切除手術后放置位置的初步探討. 安徽醫學, 2021, 42(8): 896-899.
4. 王龍飛. 超細引流管在胸腔鏡輔助肺葉/亞肺葉切除術中的應用效果分析. 大連醫科大學, 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. 超細引流管聯合椎旁神經阻滯在非小細胞肺癌肺葉切除術中的應用. 蘭州大學, 2020.
8. 謝延坤. 單胸管引流在非小細胞肺癌患者胸腔鏡上肺葉切除術后的應用效果. 新鄉醫學院學報, 2021, 38(7): 681-684.
9. 支青, 朱士彬, 陳磊, 等. 肺上葉切除術后單胸腔引流管和雙胸腔引流管的應用比較. 實用臨床醫藥雜志, 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, 謝曉陽, 李季, 等. 改良中心靜脈導管在單孔胸腔鏡亞肺葉切除術后引流中的應用效果. 中國醫藥導報, 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. 任繼美, 李春香, 鄔會超, 等. 帶導向和固定裝置的雙腔中心靜脈導管胸腔閉式引流術對胸腔鏡肺葉切除術NSCLC患者預后的影響. 中外醫學研究, 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. 馬俊杰, 高德軍. 不同管徑胸腔引流管在肺葉切除術后的臨床應用比較. 中華胸部外科電子雜志, 2016, 3(3): 156-159.
19. 王希龍, 吳子恒, 許世廣, 等. 快速康復外科理念在達芬奇機器人肺癌根治手術中應用價值研究. 臨床軍醫雜志, 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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