A single 24F Blake drain after wedge resection or lobectomy: a study on 100 consecutive cases

Icard, Philippe; Chautard, J.; Zhang, XiaDong; Juanico, M. Carbonell; Bichi, Samuel; Lerochais, Jean-Philippe; Flais, Frédéric

doi:10.1016/j.ejcts.2006.06.032

Cited by 31 publications

(26 citation statements)

References 4 publications

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“…Factors that may have caused bias of the results, such as the use of coagulation‐affecting drugs and neoadjuvant therapy, were eliminated during patient enrollment. Wedge resection cases were also excluded to eliminate the bias caused by different procedures . Propensity score matched analysis was applied to overcome any bias that may have been caused by imbalances in patient age and tumor stage.…”

Section: Discussionmentioning

confidence: 99%

Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients

Qiu

Scarci

et al. 2019

Thoracic Cancer

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Background Uniportal video‐assisted thoracic surgery (VATS) has undergone significant development in recent years, yet its usefulness and value in the treatment of lung cancer remains controversial. We investigated the effect of uniportal VATS surgery for reducing postoperative thorax drainage in lung cancer patients. Methods The data of primary lung cancer patients who underwent VATS anatomical lung resection at the China National Cancer Center by a single surgeon were retrospectively collected. After propensity score matched analysis, 492 patients (246 uniportal VATS, 246 multiportal VATS) were included in the study. The clinicopathologic and surgery‐related features, including drainage volume, were compared. Student's t and chi‐square tests were used; all tests were two‐sided. Results Patients in the two groups had similar demographic and clinicopathological features. Patients who underwent uniportal VATS surgery had significantly lower postoperative thorax drainage (830.0 ± 666.0 mL vs. 1014.5 ± 616.9 mL, P = 0.002) and a comparatively lower rate of unplanned return to the operating room (0 vs. 0.8%; P = 0.156) than multiportal VATS patients. The surgical duration, blood loss, number of lymph nodes dissected, postoperative complications, and length of hospital stay were similar between the groups. Conclusions Uniportal VATS could reduce postoperative thorax drainage and the risk of unplanned return to the operating room for lung cancer patients. This study included the largest sample by a single surgeon and our results suggest the potential value of uniportal VATS for the faster recovery of lung cancer patients.

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Section: Discussionmentioning

confidence: 99%

Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients

Qiu

Scarci

et al. 2019

Thoracic Cancer

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“…Several reports have been published comparing the use of one chest tube with the use of two chest tubes for thoracic drainage after pulmonary lobectomy, but most of these were observational studies (Alex et al 2003;Kejriwal and Newman 2005;Icard et al 2006), and there have so far only been three reports of randomized controlled trials (Gomez-Caro et al 2006;Pawelczyk et al 2007;Okur et al 2009). The results of the randomized trials revealed that proper extension of the residual lung could be achieved even with one chest tube.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Drainage with One Chest Tube Is Appropriate for Pulmonary Lobectomy: A Randomized Trial

Tanaka

Sagawa

Usuda

et al. 2014

Tohoku J. Exp. Med.

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To expand postoperative residual lungs after pulmonary lobectomy, thoracic drainage with two chest tubes has been recommended. Several studies recently demonstrated that postoperative drainage with one chest tube (PD1) was as safe as that with two chest tubes (PD2). However, most of the patients in those studies underwent lobectomy by standard thoracotomy. Although the number of pulmonary lobectomies by video-assisted thoracic surgery (VATS) has been increasing in recent years, there have been no reports that compared PD1 with PD2 after pulmonary lobectomy, including that by VATS. To elucidate whether postoperative management with PD1 is as safe as that with PD2, we conducted a randomized controlled trial. Lung cancer patients who underwent lobectomies with mediastinal nodal dissection in our hospital were assigned to one of two groups: one chest tube placed in PD1 group and two chest tubes placed in PD2 group. A total of 108 patients were registered in the study. There were no significant differences in the age, gender, pathological stage or histological type between two groups. Since the residual lung expansion was good in both groups, there were no patients who needed thoracentesis. There were no significant differences in the number of cases with pleurodesis, the amount/duration of drainage or the pain of the patients between two groups. In conclusion, since PD1 has advantages in saving cost and time and in low risk of transcutaneous infection, PD1 is appropriate after pulmonary lobectomy by VATS and by open thoracotomy.

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“…We read with great interest the article by Icard and coworkers on the use of a single 24 F Blake drain (Johnson & Johnson, Somerville, NJ) [1]. We first reported the use of Blake drains for drainage of pleural cavity in patients undergoing thoracotomy [2].…”

mentioning

confidence: 97%

Use of Blake drains following lung resection

Saxena

Kejriwal

Newman

2006

European Journal of Cardio-Thoracic Surgery

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A single 24F Blake drain after wedge resection or lobectomy: a study on 100 consecutive cases

Cited by 31 publications

References 4 publications

Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients

Uniportal video‐assisted thoracic surgery could reduce postoperative thorax drainage for lung cancer patients

Postoperative Drainage with One Chest Tube Is Appropriate for Pulmonary Lobectomy: A Randomized Trial

Use of Blake drains following lung resection

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