2023 World Conference on Lung Cancer (Posters)-P1.26. Usefulness and Safety of Chest Tube Removal Regardless of Drainage Volume of Pleural Effusion in Patients Who Underwent Pulmonary Resection

P1.26. Usefulness and Safety of Chest Tube Removal Regardless of Drainage Volume of Pleural Effusion in Patients Who Underwent Pulmonary Resection - PDF(Abstract)

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Pdf Summary

A study was conducted to investigate the usefulness and safety of removing chest tubes regardless of the volume of pleural effusion in patients who underwent anatomical pulmonary resection. The multicenter, randomized controlled trial included patients who underwent segmentectomy or lobectomy. Patients with a chest tube drainage volume of 300 mL/24 hours on the second postoperative day were randomly assigned to either have their chest tube removed on the second postoperative day or to continue drainage until the volume decreased to 300 mL/24 hours. The primary endpoint was the frequency of respiratory-related adverse events within 30 days postoperatively. <br /><br />The study included 88 patients in the group where chest tubes were removed on the second postoperative day and 86 patients in the group where drainage continued until the volume decreased. Grade 2 respiratory-related adverse events were observed in 11.4% of the patients in the first group and 14.0% of the patients in the second group. After chest tube removal, thoracentesis and/or chest tube re-insertion was performed in 8.0% of the patients in the first group and 9.3% of the patients in the second group. The duration of chest tube placement was significantly shorter in the group where tubes were removed early. There was no statistically significant difference in the duration of postoperative hospitalization between the two groups. The postoperative change in respiratory function was not statistically significant regardless of the type of pulmonary resection performed.<br /><br />The study concluded that chest tube removal was safe regardless of the volume of pleural effusion in patients who underwent anatomical pulmonary resection. This information can be useful in the management of patients with early-stage non-small cell lung cancer.

Asset Subtitle

Tomohiro Haruki

Meta Tag

Speaker Tomohiro Haruki

Topic Early-Stage NSCLC: More Minimally Invasive Approaches

Keywords

chest tubes

pleural effusion

anatomical pulmonary resection

segmentectomy

lobectomy

respiratory-related adverse events

thoracentesis

postoperative day

postoperative hospitalization

respiratory function