Comparative Analysis of Chest Tube Thoracostomy and Video-Assisted Thoracoscopic Surgery in Empyema and Parapneumonic Effusion Associated with Pneumonia in Children

2008 ◽  
Vol 9 (3) ◽  
pp. 317-323 ◽  
Author(s):  
Abdulhameed Aziz ◽  
Jeffrey M. Healey ◽  
Faisal Qureshi ◽  
Timothy D. Kane ◽  
Geoffrey Kurland ◽  
...  
Keyword(s):  
Comparative Analysis ◽  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Tube Thoracostomy ◽  
Parapneumonic Effusion ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Comparative Study of Chest Tube Thoracostomy vs Video-Assisted Thoracoscopic Surgery in the Treatment of Empyema in Children

CHEST Journal ◽  
2010 ◽  
Vol 138 (4) ◽  
pp. 328A
Author(s):  
Daniele C. Cataneo ◽  
Carlos A. Polônio ◽  
Erica N. Hasimoto ◽  
Antonio J. Cataneo
Keyword(s):  
Comparative Study ◽  
Chest Tube ◽  
Thoracoscopic Surgery ◽  
Tube Thoracostomy ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic 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.

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.

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