Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study
BackgroundUniportal video-assisted thoracoscopic surgery (UniVATS) was utilized with a rapid growth. The evidence is sparse, however, on whether to add external suction to water-seal drainage for chest drainage after UniVATS. This retrospective propensity score-matched study aimed to identify the ne...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2021-10-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2021.751396/full |
| _version_ | 1818838585623707648 |
|---|---|
| author | Jian Zhou Chuan Li Quan Zheng Quan Zheng Chenglin Guo Mengyuan Lyu Qiang Pu Hu Liao Lunxu Liu |
| author_facet | Jian Zhou Chuan Li Quan Zheng Quan Zheng Chenglin Guo Mengyuan Lyu Qiang Pu Hu Liao Lunxu Liu |
| author_sort | Jian Zhou |
| collection | DOAJ |
| description | BackgroundUniportal video-assisted thoracoscopic surgery (UniVATS) was utilized with a rapid growth. The evidence is sparse, however, on whether to add external suction to water-seal drainage for chest drainage after UniVATS. This retrospective propensity score-matched study aimed to identify the necessity of adding external suction to chest drainage after UniVATS.MethodsPatients with lung cancer who underwent UniVATS were included from our prospectively maintained database. Patients were divided into two cohorts based on the addition of external suction to postoperative water-seal drainage or not. Propensity score-matched analysis was performed to identify the impact of suction on chest tube duration, incidence of persistent air leak, hospital stay, and hospitalization cost. Multivariable model with interaction terms was constructed to identify impact of covariables on effect of suction.ResultsThe two cohorts matched well on baseline characteristics (nonsuction: 173; suction: 96). Compared with nonsuction group, suction group showed longer median chest tube duration (3 vs. 2 days, p = 0.003), higher incidences of persistent air leak (9.4% vs. 1.2%, p = 0.003), persistent drainage (16.8% vs. 5.8%, p = 0.007), and reduced drainage volume within first 3 postoperative days (386.90 vs. 504.78 ml, p = 0.011). Resection extent was identified to mediate the relationship between suction and chest tube drainage.ConclusionsThese findings discouraged adding external suction to water-seal drainage after UniVATS regarding longer chest tube duration and more persistent air leak. Patients undergoing lobectomy would benefit more from water-seal drainage without external suction compared with those doing sublobectomy. |
| first_indexed | 2024-12-19T03:40:44Z |
| format | Article |
| id | doaj.art-800106786ac444f687657b0ac35a5ce6 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-12-19T03:40:44Z |
| publishDate | 2021-10-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-800106786ac444f687657b0ac35a5ce62022-12-21T20:37:14ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2021-10-011110.3389/fonc.2021.751396751396Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched StudyJian Zhou0Chuan Li1Quan Zheng2Quan Zheng3Chenglin Guo4Mengyuan Lyu5Qiang Pu6Hu Liao7Lunxu Liu8Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaWest China School of Medicine, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, ChinaBackgroundUniportal video-assisted thoracoscopic surgery (UniVATS) was utilized with a rapid growth. The evidence is sparse, however, on whether to add external suction to water-seal drainage for chest drainage after UniVATS. This retrospective propensity score-matched study aimed to identify the necessity of adding external suction to chest drainage after UniVATS.MethodsPatients with lung cancer who underwent UniVATS were included from our prospectively maintained database. Patients were divided into two cohorts based on the addition of external suction to postoperative water-seal drainage or not. Propensity score-matched analysis was performed to identify the impact of suction on chest tube duration, incidence of persistent air leak, hospital stay, and hospitalization cost. Multivariable model with interaction terms was constructed to identify impact of covariables on effect of suction.ResultsThe two cohorts matched well on baseline characteristics (nonsuction: 173; suction: 96). Compared with nonsuction group, suction group showed longer median chest tube duration (3 vs. 2 days, p = 0.003), higher incidences of persistent air leak (9.4% vs. 1.2%, p = 0.003), persistent drainage (16.8% vs. 5.8%, p = 0.007), and reduced drainage volume within first 3 postoperative days (386.90 vs. 504.78 ml, p = 0.011). Resection extent was identified to mediate the relationship between suction and chest tube drainage.ConclusionsThese findings discouraged adding external suction to water-seal drainage after UniVATS regarding longer chest tube duration and more persistent air leak. Patients undergoing lobectomy would benefit more from water-seal drainage without external suction compared with those doing sublobectomy.https://www.frontiersin.org/articles/10.3389/fonc.2021.751396/fullsuctiondrainageuniportalsurgerylung cancer |
| spellingShingle | Jian Zhou Chuan Li Quan Zheng Quan Zheng Chenglin Guo Mengyuan Lyu Qiang Pu Hu Liao Lunxu Liu Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study Frontiers in Oncology suction drainage uniportal surgery lung cancer |
| title | Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study |
| title_full | Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study |
| title_fullStr | Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study |
| title_full_unstemmed | Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study |
| title_short | Suction Versus Nonsuction Drainage After Uniportal Video-Assisted Thoracoscopic Surgery: A Propensity Score-Matched Study |
| title_sort | suction versus nonsuction drainage after uniportal video assisted thoracoscopic surgery a propensity score matched study |
| topic | suction drainage uniportal surgery lung cancer |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2021.751396/full |
| work_keys_str_mv | AT jianzhou suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT chuanli suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT quanzheng suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT quanzheng suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT chenglinguo suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT mengyuanlyu suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT qiangpu suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT huliao suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy AT lunxuliu suctionversusnonsuctiondrainageafteruniportalvideoassistedthoracoscopicsurgeryapropensityscorematchedstudy |