The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer

Zheng, Shuo; Shi, Qinlang; Ma, Qinya1,2; Fu, Qiang1,2; Qiao, Kun1,2,3

2022-08-01

10.21037/tcr-22-1910

Translational Cancer Research   Impact Factor & Quartile

2218-676X

2219-6803

Background: Early removal of the chest tube has advantages of reducing postoperative pain and speed recovery. This study aimed to confirm its safety and feasibility of early removal of a pigtail catheter used as a chest drain in patients undergoing anatomical surgery.Methods: This retrospective cohort study included 126 patients who removed pigtail catheter <24 h after surgery, and 56 patients >24 h who underwent uniportal video-assisted thoracic surgery (u-VATS) between January 2020 and April 2022. All patients had stage I lung cancer and underwent anatomical surgery (lobectomy or segmentectomy). The clinical characteristics, perioperative data, and postoperative complications of both groups were analyzed and compared.Results: The >24 h group had more patients with a higher body mass index (BMI) (P<0.001), a lower forced expiratory volume in the first second (FEV1) (P<0.001), Chronic obstructive pulmonary disease (COPD) (P<0.001), and current smokers (P=0.006) than the <24 h group. There were no significant differences in terms of age, sex, type of resection, operation time, and bleeding loss between the two groups (P>0.05). The pain of patients in the <24 h group was significantly less than that in the >24 h group only on the third postoperative day (P=0.035). There were no significant differences in the postoperative visual analogue scale (VAS) at postoperative day 0, day 1, day 7, and 1 month between the two groups (P>0.05). With the exception of a higher occurrence of subcutaneous emphysema in the >24 h group (71.7% vs. 100%, P=0.001), there were no statistically significant differences in the postoperative complications (e.g., pneumonia, atrial fibrillation, atelectasis, pleural effusion, and wound infection) between the 2 groups (P>0.05). During the 30day follow-up period, none of the patients required tube reinsertion for pneumothorax. A total of 8 patients in the <24 h group and 4 in the >24 h group required tube reinsertion (6.7% vs. 7.1%, P>0.99) due to pleural effusion.Conclusions: In stage I lung cancer patients who underwent u-VATS anatomic surgery, the pigtail catheter used as a thoracic drainage tube removed with 24 h after was safe and feasible.

Lung cancer surgery enhanced recovery after surgery (ERAS) drainage

SCI

English

Corresponding

clinical research project of Third People's Hospital of Shenzhen[2022-077-02]

Oncology

Oncology

WOS:000852208700001

AME PUBLISHING COMPANY

Web of Science

1.Southern Univ Sci & Technol, Affiliated Hosp 2, Shenzhen, Peoples R China
2.Third Peoples Hosp Shenzhen, Dept Thorac Surg, Shenzhen, Peoples R China
3.Third Peoples Hosp Shenzhen, Dept Thorac Surg, 29 Bulan Rd, Shenzhen 51800, Peoples R China

Zheng, Shuo,Shi, Qinlang,Ma, Qinya,et al. The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer[J]. Translational Cancer Research,2022.

Zheng, Shuo,Shi, Qinlang,Ma, Qinya,Fu, Qiang,&Qiao, Kun.(2022).The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer.Translational Cancer Research.

Zheng, Shuo,et al."The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer".Translational Cancer Research (2022).