Comparison of digital and traditional thoracic drainage systems for postoperative chest tube management after pulmonary resection: A prospective randomized trial

Abstract

The use of a digital thoracic drainage system did not shorten the duration of chest tube placement in comparison to a traditional thoracic drainage system after anatomic lung resection.

Digital pleural drainages—what is the real value for patients?

“…In conclusion, we still believe that digital pleural drainage systems have a role in the armamentarium of thoracic surgeons, but its real value is facilitating clinical decisions on pulling out chest tubes; other clinical advantages are still lacking evidence. We applaud Takamochi et al (1) for showing their negative results against the current trending in postoperative pleural drainage.…”

“…In a recently published randomised trial (1), the authors conclude that the use of a digital thoracic drainage system did not shorten the duration of chest tube placement in comparison to a traditional thoracic drainage after anatomic lung resection. This conclusion conflicts with the metaanalysis by Zhou et al (2).…”

Single versus double chest drains after pulmonary lobectomy: a systematic review and meta-analysis

“…By placing a closed chest drainage tube, it can achieve the effects of draining gas and fluids from the chest cavity, promoting lung expansion, preventing chest infections, and rebuilding negative pressure [27,28]. Meanwhile, by observing the amount, characteristics of drainages, and the fluctuation of the water column, some abnormal conditions can be found and treated in time [29]. At present, it is common that SCD is placed after lobectomy of upper lung tissue in China, while DCD are placed after lobectomy of lower lung tissue [14].…”

Prolonged Air Leak After Lobectomy in Lung Cancer Patients

“…Наличие единственного дренажа способствует более короткому пребыванию в стационаре, снижению болевого синдрома, а при возникновении сброса воздуха позволяет его полностью эвакуировать из плевральной полости, тем самым позволяя безболезненно достичь необходимого разрежения в плевральной полости. Показанием для установки второго плеврального дренажа является ситуация, когда один дренаж не справляется с объемом сбрасываемого воздуха, однако известно, что эта процедура не улучшает отдаленные результаты лечения [11].…”