scholarly journals Costs of Treating Children With Complicated Pneumonia: A Comparison of Primary Video-Assisted Thoracoscopic Surgery and Chest Tube Placement

2009 ◽  
Vol 45 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Samir S. Shah ◽  
Thomas R. Ten Have ◽  
Joshua P. Metlay
Keyword(s):  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Tube Placement ◽  
Chest Tube Placement ◽  
Video Assisted ◽  
Complicated Pneumonia ◽  
Video Assisted Thoracoscopic Surgery

Chest tube drainage placement may not be a necessity in paediatric thoracoscopic surgery: a retrospective study

2021 ◽  
pp. 1-5
Author(s):  
Gang Zhang ◽  
Dandan Liu ◽  
Ruiming Kuang ◽  
Chun Cai ◽  
Xiao Li ◽  
...  
Keyword(s):  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Perioperative Complications ◽  
Chest Tube Drainage ◽  
Tube Placement ◽  
Tube Drainage ◽  
Video Assisted ◽  
Increased Risk ◽  
Psychological Acceptance ◽  
Video Assisted Thoracoscopic Surgery

Abstract Objective: Chest tube drainage placement, a standard procedure in video-assisted thoracoscopic surgery, was reported to cause perioperative complications like pain and increased risk of infection. The present study was designed to evaluate the necessity of chest tube drainage inpaediatric thoracoscopic surgery. Methods: Thirty children admitted to our hospital from April 2018 to April 2020 were included in the current study and were grouped as the tube group (children receiving video-assisted thoracoscopic surgery with chest tube drainage) and the non-tube group (children receiving video-assisted thoracoscopic surgery without chest tube drainage). Laboratory hemogram index, length of hospitalisation, post-operative performance of involved children, and psychological acceptance of indicated therapy by guardians of the involved children were investigated. Results: Laboratory examination revealed that the mean corpuscular haemoglobin concentration in the non-tube group was significantly higher than that in the tube group on post-operative day 1 (p < 0.05). Children in the non-tube group had a shorter length of hospitalisation (7–9 days) than that of patients from the tube group. Additionally, the frequency of crying of children was decreased and psychological acceptance by patients’ guardians was improved in the non-tube group when compared with the tube group. Conclusion: This study showed that chest tube drainage placement may not be necessary in several cases of paediatric video-assisted thoracoscopic surgery. Rapid recovery with decreased perioperative complications in children operated by video-assisted thoracoscopic surgery without tube placement could also reduce the burden of the family and society both economically and psychologically.

scholarly journals Comparison of non-intubated and intubated video-assisted thoracoscopic surgeries of major pulmonary resections for lung cancer—a meta-analysis

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Wenfei Xue ◽  
Guochen Duan ◽  
Xiaopeng Zhang ◽  
Hua Zhang ◽  
Qingtao Zhao ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Thoracic Surgery ◽  
Postoperative Complication ◽  
Complication Rate ◽  
Chest Tube ◽  
Meta Analysis ◽  
Tube Placement ◽  
Postoperative Complication Rate ◽  
Chest Tube Placement ◽  
Video Assisted

Abstract Objective The aim of this study was to compare the safety feasibility and safety feasibility of non-intubated (NIVATS) and intubated video-assisted thoracoscopic surgeries (IVATS) during major pulmonary resections. Methods A meta-analysis of eight studies was conducted to compare the real effects of two lobectomy or segmentectomy approaches during major pulmonary resections. Results Results showed that the patients using NIVATS had a greatly shorter hospital stay and chest-tube placement time (weighted mean difference (WMD): − 1.04 days; 95% CI − 1.50 to − 0.58; P < 0.01) WMD − 0.71 days; 95% confidence interval (CI), − 1.08 to − 0.34; P < 0.01, respectively) while compared to those with IVATS. There were no significant differences in postoperative complication rate, surgical duration, and the number of dissected lymph nodes. However, through the analysis of highly selected patients with lung cancer in early stage, the rate of postoperative complication in the NIVATS group was lower than that in the IVATS group [odds ratio (OR) 0.44; 95% CI 0.21–0.92; P = 0.03, I2 = 0%]. Conclusions Although the comparable postoperative complication rate was observed for major thoracic surgery in two surgical procedures, the NIVATS method could significantly shorten the hospitalized stay and chest-tube placement time compared with IVATS. Therefore, for highly selected patients, NIVATS is regarded as a safe and technically feasible procedure for major thoracic surgery. The assessment of the safety and feasibility for patients undergoing NIVATS needs further multi-center prospective clinical trials.

scholarly journals An alternative chest tube placement after uniportal video-assisted thoracic surgery

2018 ◽  
Vol 10 (5) ◽  
pp. 3078-3080
Author(s):  
Alessandro Palleschi ◽  
Paolo Mendogni ◽  
Alessio Vincenzo Mariolo ◽  
Mario Nosotti ◽  
Lorenzo Rosso
Keyword(s):  
Thoracic Surgery ◽  
Chest Tube ◽  
Tube Placement ◽  
Chest Tube Placement ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted

Slipping rib syndrome: case report of an iatrogenic result following video-assisted thoracic surgery and chest tube placement

2021 ◽  
Author(s):  
Nimesh Patel ◽  
Jessin K John ◽  
Praveen Pakeerappa ◽  
Rohit Aiyer ◽  
Lara N Zador
Keyword(s):  
Case Report ◽  
Thoracic Surgery ◽  
Chest Tube ◽  
Tube Placement ◽  
Thoracic Pain ◽  
Chest Tube Placement ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Multiple Imaging ◽  
Upper Abdominal

The aim of this case report is to shed light on slipping rib syndrome (SRS), a painful and overlooked condition. A 62-year old man reported intermittent, self-resolving sharp rib pain that began after a video-assisted thoracic surgery and chest tube placement 4 years prior to presentation. The patient’s pain was associated with a rigid protrusion in the right upper quadrant, and home use of acetaminophen provided no relief. After physical examination, multiple imaging and lab tests, the patient was diagnosed with SRS and was referred to physical therapy and thoracic surgery for further evaluation. SRS is an under-recognized cause of upper abdominal and lower thoracic pain that should be considered if a patient’s history includes previous trauma or abdominal surgery.

scholarly journals Making the transition from video-assisted thoracoscopic surgery to chest tube with fibrinolytics for empyema in children: Any change in outcomes?

2016 ◽  
Vol 59 (3) ◽  
pp. 167-171 ◽  
Author(s):  
Michael H. Livingston ◽  
Sara Colozza ◽  
Kelly N. Vogt ◽  
Neil Merritt ◽  
Andreana Bütter
Keyword(s):  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Pre-embedding subcutaneous suture for chest-tube insertion in uniportal video-assisted thoracoscopic surgery

2017 ◽  
Vol 9 (10) ◽  
pp. E938-E940
Author(s):  
Chieh-Ni Kao ◽  
Chao-Wei Chang ◽  
Meng-Chien Hsieh ◽  
Yu-Wei Liu ◽  
Shah-Hwa Chou
Keyword(s):  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Tube Insertion ◽  
Video Assisted ◽  
Chest Tube Insertion ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study

2021 ◽  
Vol 11 ◽  
Author(s):  
Jian Zhou ◽  
Chuan Li ◽  
Quan Zheng ◽  
Chenglin Guo ◽  
Mengyuan Lyu ◽  
...  
Keyword(s):  
Propensity Score ◽  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Air Leak ◽  
Chest Drainage ◽  
Video Assisted ◽  
Matched Study ◽  
Water Seal ◽  
Persistent Air Leak ◽  
Video Assisted Thoracoscopic Surgery

BackgroundUniportal video-assisted thoracoscopic surgery (UniVATS) was utilized with a rapid growth. The evidence is sparse, however, on whether to add external suction to water-seal drainage for chest drainage after UniVATS. This retrospective propensity score-matched study aimed to identify the necessity of adding external suction to chest drainage after UniVATS.MethodsPatients with lung cancer who underwent UniVATS were included from our prospectively maintained database. Patients were divided into two cohorts based on the addition of external suction to postoperative water-seal drainage or not. Propensity score-matched analysis was performed to identify the impact of suction on chest tube duration, incidence of persistent air leak, hospital stay, and hospitalization cost. Multivariable model with interaction terms was constructed to identify impact of covariables on effect of suction.ResultsThe two cohorts matched well on baseline characteristics (nonsuction: 173; suction: 96). Compared with nonsuction group, suction group showed longer median chest tube duration (3 vs. 2 days, p = 0.003), higher incidences of persistent air leak (9.4% vs. 1.2%, p = 0.003), persistent drainage (16.8% vs. 5.8%, p = 0.007), and reduced drainage volume within first 3 postoperative days (386.90 vs. 504.78 ml, p = 0.011). Resection extent was identified to mediate the relationship between suction and chest tube drainage.ConclusionsThese findings discouraged adding external suction to water-seal drainage after UniVATS regarding longer chest tube duration and more persistent air leak. Patients undergoing lobectomy would benefit more from water-seal drainage without external suction compared with those doing sublobectomy.

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