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Prophylactic air‐extraction strategy after thoracoscopic wedge resection
BACKGROUND: Since the conception of enhanced recovery after surgery protocols, tubeless strategies have become popular. Herein, we introduce a previously unreported alternative air‐extraction strategy for patients who have undergone thoracoscopic wedge resection and explore its feasibility and safet...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209782/ https://www.ncbi.nlm.nih.gov/pubmed/30187689 http://dx.doi.org/10.1111/1759-7714.12850 |
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author | Zhang, Jia‐Tao Tang, Yi‐Chun Lin, Jun‐Tao Dong, Song Nie, Qiang Jiang, Ben‐Yuan Yan, Hong‐Hong Wen, Zheng‐Wei Wu, Yue Yang, Xue‐Ning Wu, Yi‐Long Zhong, Wen‐Zhao |
author_facet | Zhang, Jia‐Tao Tang, Yi‐Chun Lin, Jun‐Tao Dong, Song Nie, Qiang Jiang, Ben‐Yuan Yan, Hong‐Hong Wen, Zheng‐Wei Wu, Yue Yang, Xue‐Ning Wu, Yi‐Long Zhong, Wen‐Zhao |
author_sort | Zhang, Jia‐Tao |
collection | PubMed |
description | BACKGROUND: Since the conception of enhanced recovery after surgery protocols, tubeless strategies have become popular. Herein, we introduce a previously unreported alternative air‐extraction strategy for patients who have undergone thoracoscopic wedge resection and explore its feasibility and safety. METHODS: Between January 2015 and June 2017, 264 consecutive patients underwent thoracoscopic wedge resection with different drainage strategies. Patients were divided according to the postoperative drainage strategies used: routine chest tube drainage (RT group), complete omission of chest tube drainage (OT group), and prophylactic air‐extraction catheter insertion procedure (PC group). Using the propensity score matching method, clinical parameters and objective operative qualities were compared among the three groups. RESULTS: Optimal 1:1 matching was used to form pairs of RT (n =36) and PC (n =36) groups and balance baseline characteristics among the three groups. The incidence rates of pneumothorax were 5.6% (2/36), 9.8% (5/51), and 19.4% (7/36) in the RT, OT, and PC groups, respectively (P = 0.07). Chest tube reinsertion incidence for postoperative pneumothorax was 19.4% (1/7) in the PC group and 60% (3/5) in the OT group. Other postoperative complications were comparable among these groups. CONCLUSIONS: The prophylactic air‐extraction strategy may be an alternative procedure for selected patients. Remedial air extraction may reduce the occurrence of chest tube reinsertion for pneumothorax patients, but further investigation is required. |
format | Online Article Text |
id | pubmed-6209782 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-62097822018-11-16 Prophylactic air‐extraction strategy after thoracoscopic wedge resection Zhang, Jia‐Tao Tang, Yi‐Chun Lin, Jun‐Tao Dong, Song Nie, Qiang Jiang, Ben‐Yuan Yan, Hong‐Hong Wen, Zheng‐Wei Wu, Yue Yang, Xue‐Ning Wu, Yi‐Long Zhong, Wen‐Zhao Thorac Cancer Original Articles BACKGROUND: Since the conception of enhanced recovery after surgery protocols, tubeless strategies have become popular. Herein, we introduce a previously unreported alternative air‐extraction strategy for patients who have undergone thoracoscopic wedge resection and explore its feasibility and safety. METHODS: Between January 2015 and June 2017, 264 consecutive patients underwent thoracoscopic wedge resection with different drainage strategies. Patients were divided according to the postoperative drainage strategies used: routine chest tube drainage (RT group), complete omission of chest tube drainage (OT group), and prophylactic air‐extraction catheter insertion procedure (PC group). Using the propensity score matching method, clinical parameters and objective operative qualities were compared among the three groups. RESULTS: Optimal 1:1 matching was used to form pairs of RT (n =36) and PC (n =36) groups and balance baseline characteristics among the three groups. The incidence rates of pneumothorax were 5.6% (2/36), 9.8% (5/51), and 19.4% (7/36) in the RT, OT, and PC groups, respectively (P = 0.07). Chest tube reinsertion incidence for postoperative pneumothorax was 19.4% (1/7) in the PC group and 60% (3/5) in the OT group. Other postoperative complications were comparable among these groups. CONCLUSIONS: The prophylactic air‐extraction strategy may be an alternative procedure for selected patients. Remedial air extraction may reduce the occurrence of chest tube reinsertion for pneumothorax patients, but further investigation is required. John Wiley & Sons Australia, Ltd 2018-09-06 2018-11 /pmc/articles/PMC6209782/ /pubmed/30187689 http://dx.doi.org/10.1111/1759-7714.12850 Text en © 2018 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Zhang, Jia‐Tao Tang, Yi‐Chun Lin, Jun‐Tao Dong, Song Nie, Qiang Jiang, Ben‐Yuan Yan, Hong‐Hong Wen, Zheng‐Wei Wu, Yue Yang, Xue‐Ning Wu, Yi‐Long Zhong, Wen‐Zhao Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title | Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title_full | Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title_fullStr | Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title_full_unstemmed | Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title_short | Prophylactic air‐extraction strategy after thoracoscopic wedge resection |
title_sort | prophylactic air‐extraction strategy after thoracoscopic wedge resection |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6209782/ https://www.ncbi.nlm.nih.gov/pubmed/30187689 http://dx.doi.org/10.1111/1759-7714.12850 |
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