Outpatient Thoracic Surgery

Molins, Laureano; Fibla, Juan J.; Mier, José M.; Sierra, Ana

doi:10.1016/j.thorsurg.2008.04.003

Cited by 22 publications

(6 citation statements)

References 33 publications

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“…Day surgery has not been widely used in thoracic surgery, including VATS. The currently reported and recognized types of thoracic day surgery are limited to bilateral thoracic sympathectomy, mediastinoscopy, bronchoscopy, and simple lung biopsy ( 15 ). The presence of urinary catheters limits the development of day surgery.…”

Section: Discussionmentioning

confidence: 99%

The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer

Zheng¹,

Shi²,

Ma³

et al. 2022

Transl Cancer Res TCR

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Background: Early removal of the chest tube has advantages of reducing postoperative pain and speed recovery. This study aimed to confirm its safety and feasibility of early removal of a pigtail catheter used as a chest drain in patients undergoing anatomical surgery.Methods: This retrospective cohort study included 126 patients who removed pigtail catheter ≤24 h after surgery, and 56 patients >24 h who underwent uniportal video-assisted thoracic surgery (u-VATS) between January 2020 and April 2022. All patients had stage I lung cancer and underwent anatomical surgery (lobectomy or segmentectomy). The clinical characteristics, perioperative data, and postoperative complications of both groups were analyzed and compared. Results:The >24 h group had more patients with a higher body mass index (BMI) (P<0.001), a lower forced expiratory volume in the first second (FEV1) (P<0.001), Chronic obstructive pulmonary disease (COPD) (P<0.001), and current smokers (P=0.006) than the ≤24 h group. There were no significant differences in terms of age, sex, type of resection, operation time, and bleeding loss between the two groups (P>0.05).The pain of patients in the ≤24 h group was significantly less than that in the >24 h group only on the third postoperative day (P=0.035). There were no significant differences in the postoperative visual analogue scale (VAS) at postoperative day 0, day 1, day 7, and 1 month between the two groups (P>0.05). With the exception of a higher occurrence of subcutaneous emphysema in the >24 h group (71.7% vs. 100%, P=0.001), there were no statistically significant differences in the postoperative complications (e.g., pneumonia, atrial fibrillation, atelectasis, pleural effusion, and wound infection) between the 2 groups (P>0.05). During the 30day follow-up period, none of the patients required tube reinsertion for pneumothorax. A total of 8 patients in the ≤24 h group and 4 in the >24 h group required tube reinsertion (6.7% vs. 7.1%, P>0.99) due to pleural effusion. Conclusions:In stage I lung cancer patients who underwent u-VATS anatomic surgery, the pigtail catheter used as a thoracic drainage tube removed with 24 h after was safe and feasible.

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Section: Discussionmentioning

confidence: 99%

The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer

Zheng¹,

Shi²,

Ma³

et al. 2022

Transl Cancer Res TCR

View full text Add to dashboard Cite

show abstract

“…Cerrahi ve anestezideki ilerlemeler, daha çok cerrahi işlemin günübirlik yapılabilmesine olanak sağlamış ve aynı zamanda sağlık giderlerinin devamlı arttığı bu dönemde maliyeti azaltmadaki önemini göstermiştir. Göğüs cerrahisinde mediastinoskopi, video yardımlı torakoskopi (VAT), sempatektomi, bronkoskopi, venöz port kateter implantasyonu ve çıkartılması gibi girişimler günübirlik, güvenle yapılabilen hasta ve sağlık çalı-şanlarının da memnuniyetinin yüksek olduğu işlem-lerdir (10,11) . Sonuç olarak, mediastinoskopi preoperatif mediastinal evrelemede altın standart olarak kabul edilen bir yöntemdir.…”

Section: Discussionunclassified

Is Outpatient Mediastinoscopy safe?

Demirkaya¹,

Atasoy²,

Balcı³

2017

Okmeydani Medical Journal

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“…1 Also called outpatient surgery, it became a better alternative to conventional hospitalization with the greatest growth without forgetting economical benefit. 2 AS is actually a topic and a rapid progression field in many specialties being used frequently for various diagnostic and therapeutic procedures. 3 But, the application of AS still limited in the thoracic surgery due to the necessity of air leaking management as a postoperative complication.…”

Section: Introductionmentioning

confidence: 99%

“…In fact, there is still great potential for an increase in ambulatory thoracic surgery. 2 Videoassisted mediastinoscopy, lung biopsy and bilateral sympathectomy are the main operations that have been included safely in outpatient thoracic surgical programmes.…”

Section: Introductionmentioning

confidence: 99%

Is it possible to alleviate thoracic surgery? chest tube removal before the extubation

et al. 2017

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Background: The ambulatory surgery (AS), is an operative management that does not require an overnight hospital stay. But, the application of AS still limited in the thoracic surgery due to the necessity of air leaking management. The aim of this study is to review our AS institutional experience by a chest drain removal before the extubation, in thoracic sympathectomy surgery.Methods: We have carried out a retrospective analysis of patients who underwent thoracic sympathectomy between November 2012 and July 2016 in the Thoracic Surgery Department of Abderrahmen MAMI University Hospital.Results: During the study period, 17 patients underwent thoracic bilateral sympathectomy. Twelve (12) females were operated versus 5 males. The mean age was 24.47 (range:17-33) years. There is no chest X-ray disorder detected during all frame times. No patient had developed a respiratory distress during the postoperative period. In addition to that, no postoperative morbidities had been detected during the follow up. All patients were satisfied about the procedure at the end of the follow up.Conclusions: The ambulatory thoracic surgery procedures can safely, and efficiency be applied if the patient is well selected. The progression on operative mini invasive techniques will increase the number of patients who can profit from an "alleviated thoracic surgery".

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Outpatient Thoracic Surgery

Cited by 22 publications

References 33 publications

The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer

The short-term outcomes for the early removal of pigtail catheter drainage within 24 hours of uniportal video-assisted anatomic surgery in patients with lung cancer

Is Outpatient Mediastinoscopy safe?

Is it possible to alleviate thoracic surgery? chest tube removal before the extubation

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