Comparison of the single or double chest tube applications after lobectomy: A systematic review and meta-analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LIU Xiaoqing , ZHAO Fei , DAI Jigang , ZHOU Dong ,  CHEN Wei

Department of Thoracic Surgery, The Second Hospital Affiliated to Army Medical University, Chongqing, 400037, P.R.China;

Corresponding author：

CHEN Wei, Email: 153249204@qq.com

Keywords：

Lung cancer; lobectomy; single tube; double tube; closed thoracic drainage; systematic review and meta-analysis

DOI：

10.7507/1007-4848.201805028

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the efficacy of the single tube (ST) and double tube (DT) for closed thoracic drainage after lobectomy. Methods The PubMed, Medline, EMbase, Web of Science, CNKI, Wanfang Database, VIP database and CBMdisc from inception to March 30, 2018 were searched by computer to identify randomized controlled trial (RCT) about ST and DT drainage after lobectomy. Based on inclusion and exclusion criteria the literature was screened. Meta-analysis was performed using RevMan 5.3 software. Results Twelve RCTs were enrolled in this meta-analysis, including 1 442 patients. Compared with the patients using DT after lobectomy, the patients using ST had significantly less postoperative pain (MD=–0.64, 95%CI –0.71 to –0.56, P<0.000 01) and shorter duration of drainage (MD=–0.62, 95%CI –0.78 to –0.46, P<0.000 01) and hospital stay (MD=–0.55, 95%CI –0.80 to –0.29, P<0.000 1). Besides, there was no significant difference in postoperative complications (RR=1.11, 95%CI 0.83 to 1.49, P=0.49), air leaks (RD=0.03, 95%CI –0.02 to 0.08, P=0.19) and the redrainage rate (RR=0.89, 95%CI 0.51 to 1.54, P=0.67). Conclusion ST drainage after lobectomy is effective, which reduces postoperative pain and duration of hospital stay and drainage, and moreover, does not increase the postoperative complications and redrainage rate.

Citation： LIU Xiaoqing, ZHAO Fei, DAI Jigang, ZHOU Dong, CHEN Wei. Comparison of the single or double chest tube applications after lobectomy: A systematic review and meta-analysis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(6): 583-589. doi: 10.7507/1007-4848.201805028 Copy

1.	潘宴青, 邵丰, 孔令源, 等. 单胸管引流在非小细胞肺癌微创手术患者中的应用效果. 中国临床研究, 2017, 30(9): 1231-1233.
2.	吉红波. 肺叶切除术和局限性切除术对老年Ⅰ期非小细胞肺癌患者的预后影响. 实用癌症杂志, 2018, 33(2): 268-272.
3.	曾娟琴, 周燕红, 高露, 等. 实施集束化护理对降低胸腔闭式引流并发症的效果观察. 护理研究, 2017, 31(7): 861-863.
4.	Khan IH, Vaughan R. A national survey of thoracic surgical practice in the UK. Int J Clin Pract, 1999, 53(4): 252-256.
5.	丁淳, 金跃辉, 周海燕, 等. 胸腔闭式引流瓶的研究进展. 中华胸部外科电子杂志, 2017, 4(4): 266-268.
6.	Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
7.	Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1): 32-35.
8.	戴维, 冯飞跃, 王大力. 肺叶切除术后单、双胸腔引流管的临床应用. 临床肺科杂志, 2013, 18(2): 327-329.
9.	Alex J, Ansari J, Bahalkar P, et al. Comparison of the immediate postoperative outcome of using the conventional two drains versus a single drain after lobectomy. Ann Thorac Surg, 2003, 76(4): 1046-1049.
10.	Tanaka M, Sagawa M, Usuda K, et al. Postoperative drainage with one chest tube is appropriate for pulmonary lobectomy: a randomized trial. Tohoku J Exp Med, 2014, 232(1): 55-61.
11.	Gómez-Caro A, Roca MJ, Torres J, et al. Successful use of a single chest drain postlobectomy instead of two classical drains: a randomized study. Eur J Cardiothorac Surg, 2006, 29(4): 562-566.
12.	王宇轩, 夏海峰, 黄海涛, 等. 全胸腔镜下上肺叶切除术后放置单管引流疗效分析. 浙江临床医学, 2016, 18(12): 2254-2255.
13.	周洪霞, 余娜. 肺叶切除术后两种胸腔闭式引流方法的效果比较. 中华现代护理杂志, 2011, 17(32): 3881-3882.
14.	韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 7-10.
15.	白传明, 张楠, 郭楠, 等. 肺叶切除手术侧胸壁置入双引流管效果分析. 中国误诊学杂志, 2011, 11(3): 542.
16.	Pawelczyk K, Marciniak M, Kacprzak G, et al. One or two drains after lobectomy? A comparison of both methods in the immediate postoperative period. Thorac Cardiovasc Surg, 2007, 55(5): 313-316.
17.	李星, 张璐, 仲宁. 单胸腔引流管在肺癌上叶切除术后的应用. 临床肺科杂志, 2016, 21(12): 2172-2173.
18.	胡波, 周中新, 袁延亮, 等. 改进单根胸腔引流管引流在上叶肺癌根治术后的应用. 徐州医学院学报, 2014, 34(12): 900-902.
19.	时辉, 梅龙勇, 车国卫. 肺癌术后胸腔闭式引流术应用的新观念. 中国肺癌杂志, 2010, 13(11): 999-1003.

1. 潘宴青, 邵丰, 孔令源, 等. 单胸管引流在非小细胞肺癌微创手术患者中的应用效果. 中国临床研究, 2017, 30(9): 1231-1233.
2. 吉红波. 肺叶切除术和局限性切除术对老年Ⅰ期非小细胞肺癌患者的预后影响. 实用癌症杂志, 2018, 33(2): 268-272.
3. 曾娟琴, 周燕红, 高露, 等. 实施集束化护理对降低胸腔闭式引流并发症的效果观察. 护理研究, 2017, 31(7): 861-863.
4. Khan IH, Vaughan R. A national survey of thoracic surgical practice in the UK. Int J Clin Pract, 1999, 53(4): 252-256.
5. 丁淳, 金跃辉, 周海燕, 等. 胸腔闭式引流瓶的研究进展. 中华胸部外科电子杂志, 2017, 4(4): 266-268.
6. Watanabe A, Watanabe T, Ohsawa H, et al. Avoiding chest tube placement after video-assisted thoracoscopic wedge resection of the lung. Eur J Cardiothorac Surg, 2004, 25(5): 872-876.
7. Okur E, Baysungur V, Tezel C, et al. Comparison of the single or double chest tube applications after pulmonary lobectomies. Eur J Cardiothorac Surg, 2009, 35(1): 32-35.
8. 戴维, 冯飞跃, 王大力. 肺叶切除术后单、双胸腔引流管的临床应用. 临床肺科杂志, 2013, 18(2): 327-329.
9. Alex J, Ansari J, Bahalkar P, et al. Comparison of the immediate postoperative outcome of using the conventional two drains versus a single drain after lobectomy. Ann Thorac Surg, 2003, 76(4): 1046-1049.
10. Tanaka M, Sagawa M, Usuda K, et al. Postoperative drainage with one chest tube is appropriate for pulmonary lobectomy: a randomized trial. Tohoku J Exp Med, 2014, 232(1): 55-61.
11. Gómez-Caro A, Roca MJ, Torres J, et al. Successful use of a single chest drain postlobectomy instead of two classical drains: a randomized study. Eur J Cardiothorac Surg, 2006, 29(4): 562-566.
12. 王宇轩, 夏海峰, 黄海涛, 等. 全胸腔镜下上肺叶切除术后放置单管引流疗效分析. 浙江临床医学, 2016, 18(12): 2254-2255.
13. 周洪霞, 余娜. 肺叶切除术后两种胸腔闭式引流方法的效果比较. 中华现代护理杂志, 2011, 17(32): 3881-3882.
14. 韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1): 7-10.
15. 白传明, 张楠, 郭楠, 等. 肺叶切除手术侧胸壁置入双引流管效果分析. 中国误诊学杂志, 2011, 11(3): 542.
16. Pawelczyk K, Marciniak M, Kacprzak G, et al. One or two drains after lobectomy? A comparison of both methods in the immediate postoperative period. Thorac Cardiovasc Surg, 2007, 55(5): 313-316.
17. 李星, 张璐, 仲宁. 单胸腔引流管在肺癌上叶切除术后的应用. 临床肺科杂志, 2016, 21(12): 2172-2173.
18. 胡波, 周中新, 袁延亮, 等. 改进单根胸腔引流管引流在上叶肺癌根治术后的应用. 徐州医学院学报, 2014, 34(12): 900-902.
19. 时辉, 梅龙勇, 车国卫. 肺癌术后胸腔闭式引流术应用的新观念. 中国肺癌杂志, 2010, 13(11): 999-1003.

Previous Article
The survey and analysis of preoperative psychological state in patients with pulmonary nodules
Next Article
Current status and future of adult congenital heart disease

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Comparison of the single or double chest tube applications after lobectomy: A systematic review and meta-analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content