Authors: Ye Zhang Hui Li Bin Hu Tong Li Jinbai Miao Bin You Yili Fu Wenqian Zhang
Publish Date: 2013/10/25
Volume: 38, Issue: 1, Pages: 60-67
Abstract
The prospective randomized singleblind control study included 90 consecutive patients who underwent lobectomy or bilobectomy for pathological conditions between March 2012 and September 2012 Eligible patients were randomized into two groups early removal group chest tube removal at the drainage volume of 300 ml/24 h or less and traditional management group chest tube removal when the drainage volume is less than 100 ml/24 h Criteria for the early removal group were established and met prior to chest tube removal The volume and characteristics of drainage time of drainage tube extraction and postoperative hospital stay were recorded All patients received standard care while in the hospital and a followup visit was performed 7 days after discharge from hospitalIn accordance with the exit criteria 20 patients were excluded from the study The remaining 70 patients included in the final analysis were divided into two groups early removal group n = 41 and traditional management group n = 29 There was no difference between the two groups in terms of age sex comorbidities and pathological evaluation of resection specimens In eligible patients n = 70 the mean volume of drainage 24 h after surgery was 300 ml while the mean volume of drainage 48 h after surgery was 250 ml The average daily drainage 48 h after surgery was significantly different than the average daily drainage 24 h after surgery Z = −2059 P = 0039 The mean duration of chest tube placement was 44 h in the early removal group and 67 h in the traditional management group P = 0004 Patients who underwent early removal management had a shorter postoperative hospital stay compared to the traditional management group 5 vs 6 days P 001 No statistically significant differences were observed between the rates of pleural effusion development thoracentesis and postoperative complications 1 week after hospital discharge
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