Chest tubes are routinely inserted after thoracic surgery procedures in different sizes and numbers. The aim of this study is to assess the efficacy of Smart Drain Coaxial drainage compared with two standard chest tubes in patients undergoing thoracotomy for pulmonary lobectomy. Ninety-eight patients (57 males and 41 females, mean age 68.3 +/- 7.4 years) with lung cancer undergoing open pulmonary lobectomy were randomized in two groups: 50 received one upper 28-Fr and one lower 32-Fr standard chest tube (ST group) and 48 received one 28-Fr Smart Drain Coaxial tube (SDC group). Hospitalization, quantity of fluid output, air leaks, radiograph findings, pain control and costs were assessed. SDC group showed shorter hospitalization (7.3 vs. 6.1 days, p = 0.02), lower pain in postoperative day-1 (p = 0.02) and a lower use of analgesic drugs (p = 0.04). Pleural effusion drainage was lower in SDC group in the first postoperative day (median 400.0 +/- 200.0 mL vs. 450.0 +/- 193.8 mL, p = 0.04) and as a mean of first three PODs (median 325.0 +/- 137.5 mL vs. 362.5 +/- 96.7 mL, p = 0.01). No difference in terms of fluid retention, residual pleural space, subcutaneous emphysema and complications after chest tubes removal was found. In conclusion, Smart Drain Coaxial chest tube seems a feasible option after thoracotomy for pulmonary lobectomy. The SDC group showed a shorter hospitalization and decreased analgesic drugs use and, thus, a reduction of costs.

Coaxial drainage versus standard chest tube after pulmonary lobectomy: a randomized controlled study / Bassi, Massimiliano; Mottola, Emilia; Mantovani, Sara; Amore, Davide; Pagini, Andreina; Diso, Daniele; Vannucci, Jacopo; Poggi, Camilla; De Giacomo, Tiziano; Rendina, Erino Angelo; Venuta, Federico; Anile, Marco. - In: CURRENT ONCOLOGY. - ISSN 1718-7729. - 29:7(2022), pp. 4455-4463. [10.3390/curroncol29070354]

Coaxial drainage versus standard chest tube after pulmonary lobectomy: a randomized controlled study

Bassi, Massimiliano;Mottola, Emilia;Mantovani, Sara;Amore, Davide;Pagini, Andreina;Diso, Daniele;Vannucci, Jacopo;Poggi, Camilla;De Giacomo, Tiziano;Rendina, Erino Angelo;Venuta, Federico;Anile, Marco
2022

Abstract

Chest tubes are routinely inserted after thoracic surgery procedures in different sizes and numbers. The aim of this study is to assess the efficacy of Smart Drain Coaxial drainage compared with two standard chest tubes in patients undergoing thoracotomy for pulmonary lobectomy. Ninety-eight patients (57 males and 41 females, mean age 68.3 +/- 7.4 years) with lung cancer undergoing open pulmonary lobectomy were randomized in two groups: 50 received one upper 28-Fr and one lower 32-Fr standard chest tube (ST group) and 48 received one 28-Fr Smart Drain Coaxial tube (SDC group). Hospitalization, quantity of fluid output, air leaks, radiograph findings, pain control and costs were assessed. SDC group showed shorter hospitalization (7.3 vs. 6.1 days, p = 0.02), lower pain in postoperative day-1 (p = 0.02) and a lower use of analgesic drugs (p = 0.04). Pleural effusion drainage was lower in SDC group in the first postoperative day (median 400.0 +/- 200.0 mL vs. 450.0 +/- 193.8 mL, p = 0.04) and as a mean of first three PODs (median 325.0 +/- 137.5 mL vs. 362.5 +/- 96.7 mL, p = 0.01). No difference in terms of fluid retention, residual pleural space, subcutaneous emphysema and complications after chest tubes removal was found. In conclusion, Smart Drain Coaxial chest tube seems a feasible option after thoracotomy for pulmonary lobectomy. The SDC group showed a shorter hospitalization and decreased analgesic drugs use and, thus, a reduction of costs.
2022
chest tubes; coaxial tube; health costs; lobectomy; aged; drainage; female; humans; male; middle aged; pain; thoracic surgery, video-assisted; chest tubes; pneumonectomy
01 Pubblicazione su rivista::01a Articolo in rivista
Coaxial drainage versus standard chest tube after pulmonary lobectomy: a randomized controlled study / Bassi, Massimiliano; Mottola, Emilia; Mantovani, Sara; Amore, Davide; Pagini, Andreina; Diso, Daniele; Vannucci, Jacopo; Poggi, Camilla; De Giacomo, Tiziano; Rendina, Erino Angelo; Venuta, Federico; Anile, Marco. - In: CURRENT ONCOLOGY. - ISSN 1718-7729. - 29:7(2022), pp. 4455-4463. [10.3390/curroncol29070354]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1655526
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