Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy?
Abstract Background Subxiphoid thoracoscopic thymectomy has been increasingly performed in recent years. This study aimed to assess the differences in outcomes between subxiphoid thoracoscopic thymectomy with and without chest tube drainage. Methods Overall, 205 subxiphoid thoracoscopic thymectomy o...
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| Format: | Article |
| Language: | English |
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BMC
2020-04-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13019-020-01102-5 |
| _version_ | 1818327960378146816 |
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| author | Jiaduo Li Guoyan Qi Xiaohe Zhang Xuguang Zheng |
| author_facet | Jiaduo Li Guoyan Qi Xiaohe Zhang Xuguang Zheng |
| author_sort | Jiaduo Li |
| collection | DOAJ |
| description | Abstract Background Subxiphoid thoracoscopic thymectomy has been increasingly performed in recent years. This study aimed to assess the differences in outcomes between subxiphoid thoracoscopic thymectomy with and without chest tube drainage. Methods Overall, 205 subxiphoid thoracoscopic thymectomy operations were performed for myasthenia gravis, including 90 cases without and 115 cases with chest tube drainage. The clinical characteristics and perioperative outcomes of the patients were compared. Results The patients included 112 women and 93 men, with a mean age of 41 years. Two patients in the group without and 5 patient in the group with chest tube drainage developed dyspnea. In the group without chest tube, 6 patients had residual pneumothorax or pleural effusion and had a thoracentesis after surgery (6/90). In the group with chest tube, 7 patients developed delayed pleural effusion and had a thoracentesis after chest tube removal (7/115). The patients in the group without chest tube drainage group yielded lower pain scores. Conclusions The omission of chest tube drainage may be a feasible and safe choice for patients with myasthenia gravis undergoing subxiphoid thoracoscopic thymectomy, but further prospective studies are required. |
| first_indexed | 2024-12-13T12:24:34Z |
| format | Article |
| id | doaj.art-82335e4ec73d437688d619071b44bbe2 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-13T12:24:34Z |
| publishDate | 2020-04-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-82335e4ec73d437688d619071b44bbe22022-12-21T23:46:25ZengBMCJournal of Cardiothoracic Surgery1749-80902020-04-011511610.1186/s13019-020-01102-5Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy?Jiaduo Li0Guoyan Qi1Xiaohe Zhang2Xuguang Zheng3Center of Treatment of Myasthenia Gravis Hebei Province, People’s Hospital affiliated to Hebei Medical UniversityCenter of Treatment of Myasthenia Gravis Hebei Province, People’s Hospital affiliated to Hebei Medical UniversityCenter of Treatment of Myasthenia Gravis Hebei Province, First Hospital of ShijiazhuangCenter of Treatment of Myasthenia Gravis Hebei Province, First Hospital of ShijiazhuangAbstract Background Subxiphoid thoracoscopic thymectomy has been increasingly performed in recent years. This study aimed to assess the differences in outcomes between subxiphoid thoracoscopic thymectomy with and without chest tube drainage. Methods Overall, 205 subxiphoid thoracoscopic thymectomy operations were performed for myasthenia gravis, including 90 cases without and 115 cases with chest tube drainage. The clinical characteristics and perioperative outcomes of the patients were compared. Results The patients included 112 women and 93 men, with a mean age of 41 years. Two patients in the group without and 5 patient in the group with chest tube drainage developed dyspnea. In the group without chest tube, 6 patients had residual pneumothorax or pleural effusion and had a thoracentesis after surgery (6/90). In the group with chest tube, 7 patients developed delayed pleural effusion and had a thoracentesis after chest tube removal (7/115). The patients in the group without chest tube drainage group yielded lower pain scores. Conclusions The omission of chest tube drainage may be a feasible and safe choice for patients with myasthenia gravis undergoing subxiphoid thoracoscopic thymectomy, but further prospective studies are required.http://link.springer.com/article/10.1186/s13019-020-01102-5VATSSubxiphoidThoracoscopic thymectomyChest tube drainageMyasthenia gravis |
| spellingShingle | Jiaduo Li Guoyan Qi Xiaohe Zhang Xuguang Zheng Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? Journal of Cardiothoracic Surgery VATS Subxiphoid Thoracoscopic thymectomy Chest tube drainage Myasthenia gravis |
| title | Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? |
| title_full | Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? |
| title_fullStr | Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? |
| title_full_unstemmed | Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? |
| title_short | Is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy? |
| title_sort | is chest tube drainage necessary after subxiphoid thoracoscopic thymectomy |
| topic | VATS Subxiphoid Thoracoscopic thymectomy Chest tube drainage Myasthenia gravis |
| url | http://link.springer.com/article/10.1186/s13019-020-01102-5 |
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