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−8 cm H2O, the new paradigm in chest drain management following thoracoscopic lung resection?
- Source :
-
ANZ Journal of Surgery . May2022, Vol. 92 Issue 5, p1056-1059. 4p. - Publication Year :
- 2022
-
Abstract
- Background: Chest drain suction of −20 cm H2O has been used universally after lung resection. After introducing new guidelines,−8 cm H2O was used routinely for all non‐pneumonectomy, thoracoscopic lung resections. We conducted a review to determine outcomes and safety. Methods: After introduction of the guidelines data were collected in the study institutions' thoracic surgical database and subsequently analysed. Results: A total of 155 patients underwent thoracoscopic lung resection. Mean patient age was 61.5 ± 13.6 years. Video‐assisted thoracoscopic surgery was performed in 92.2% (144/155) of patients and robotically‐assisted thoracoscopic surgery was performed in 7.8% (12/155) of patients. Lobectomy was performed in 56.8% (88/155) of patients, segmentectomy was performed in 11.6% (18/155) of patients and wedge resection was performed in 31.6% (49/155) of patients. Median ICC duration time was 1 day (IQR 1–3). Median length of stay was 3 days (IQR 2–6). For patients undergoing lobectomy median ICC time was 2 days (IQR 1–4.5) and median length of stay was 3.5 days (IQR 2–7), for segmentectomy median ICC time was 1 day (IQR 1–5) and median length of stay was 2 days (IQR 1–5) and for wedge resection median ICC time was 1 day (IQR 1–1) and median admission time was 2 days (IQR 1–4). Conclusion: A suction level −8 cm H2O is safe to use for thoracoscopic lung resections from day 0 post‐operatively. A dedicated, prospective study comparing levels of suction should be performed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CHEST endoscopic surgery
*PNEUMONECTOMY
*VIDEO-assisted thoracic surgery
*LUNGS
Subjects
Details
- Language :
- English
- ISSN :
- 14451433
- Volume :
- 92
- Issue :
- 5
- Database :
- Academic Search Index
- Journal :
- ANZ Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 156785213
- Full Text :
- https://doi.org/10.1111/ans.17645