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Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage

BACKGROUND: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage. METHODS: Data were collected retrospectively from January 2017 and December 201...

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Autores principales: Liu, Zhengcheng, Yang, Rusong, Sun, Yang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706205/
https://www.ncbi.nlm.nih.gov/pubmed/33256711
http://dx.doi.org/10.1186/s12893-020-00910-9
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author Liu, Zhengcheng
Yang, Rusong
Sun, Yang
author_facet Liu, Zhengcheng
Yang, Rusong
Sun, Yang
author_sort Liu, Zhengcheng
collection PubMed
description BACKGROUND: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage. METHODS: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. RESULTS: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 min in tubeless group and 52.8 min in drainage group. The detectable mean lowest SpO(2) and mean peak EtCO(2) during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group. CONCLUSIONS: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery.
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spelling pubmed-77062052020-12-02 Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage Liu, Zhengcheng Yang, Rusong Sun, Yang BMC Surg Research Article BACKGROUND: To investigate whether tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage has better short-term outcomes than non-intubated approach with chest tube drainage. METHODS: Data were collected retrospectively from January 2017 and December 2019. Tubeless group included 55 patients with pulmonary nodules underwent tubeless uniportal thoracoscopic wedge resection, 211 patients underwent non-intubated uniportal thoracoscopic wedge resection with chest tube drainage were included in drainage group. Peri-operative outcomes between two groups were compared. RESULTS: After 1:1 matching, 110 patients remained for analysis, baseline demographic and clinical variables were comparable between the two groups. Mean incision size was 3 cm in both group. Mean operative time was 59.3 min in tubeless group and 52.8 min in drainage group. The detectable mean lowest SpO(2) and mean peak EtCO(2) during operation was acceptable in both groups. Conversion to intubated ventilation or thoracotomy was not required. No patient failed the air leak test and did not undergo a tubeless procedure. Mean postoperative hospital stay was 1.5 days in tubeless group and 2.5 days in drainage group. Residual pneumothorax or subcutaneous emphysema was not frequent and mild in tubeless group. Side effects were rare and mild, including cough and hemoptysis. No re-intervention or readmission occurred. The postoperative VAS score was significantly lower in tubeless group. CONCLUSIONS: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage is feasible and safe for selected patients with peripheral pulmonary nodules, it might reduce post-operation pain and lead to faster recovery. BioMed Central 2020-11-30 /pmc/articles/PMC7706205/ /pubmed/33256711 http://dx.doi.org/10.1186/s12893-020-00910-9 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Liu, Zhengcheng
Yang, Rusong
Sun, Yang
Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title_full Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title_fullStr Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title_full_unstemmed Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title_short Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
title_sort tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7706205/
https://www.ncbi.nlm.nih.gov/pubmed/33256711
http://dx.doi.org/10.1186/s12893-020-00910-9
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