2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.07A.14 The Postoperative Chest Tube Drainage Strategy of "Lesstube" Can Reduce Patient Pain and Shorten Hospital Stay

EP.07A.14 The Postoperative Chest Tube Drainage Strategy of "Lesstube" Can Reduce Patient Pain and Shorten Hospital Stay

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The study outlined in the document investigates the postoperative chest tube drainage strategy for patients undergoing single-incision video-assisted thoracoscopic surgery (VATS) for lung surgeries such as lobectomy, segmentectomy, and wedge resection. The research, conducted at Fujian Medical University Union Hospital, examines whether a "Lesstube" approach, specifically using an Abel drainage tube, can alleviate postoperative pain and shorten hospital stays without increasing long-term complications.<br /><br />The study divided patients into three groups based on drainage strategies: a Single group (SD) with one Abel drain, a Double group (DD) with two Abel drains, and a Traditional group (TD) using both an Abel drain and a large-caliber tube. Results indicated that patients in the SD group, with only one Abel drain, experienced the least postoperative pain as evidenced by lower Visual Analogue Scale (VAS) scores. Furthermore, the SD group had the shortest hospital stays, averaging 3.32 days compared to 4.27 and 4.25 days for the DD and TD groups, respectively.<br /><br />In terms of long-term complications, the study found no statistically significant differences in adverse events such as pleural effusion, subcutaneous emphysema, lung infection, and inadequate lung re-expansion among the different tube strategies. One month post-surgery, chest X-rays showed that both small tube and large tube groups demonstrated significant recovery or normalization of these conditions. <br /><br />The study suggests that using only an Abel drainage tube can reduce postoperative discomfort and hospitalization length, advocating its potential benefits in thoracic surgical practices. However, it recommends further prospective, multicenter trials to bolster these findings. Overall, this approach has the potential to optimize postoperative recovery in lung cancer surgeries, taking advantage of single-incision VATS benefits, such as reduced pain and quicker discharge.

Asset Subtitle

Bin Zheng

Meta Tag

Speaker Bin Zheng

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

postoperative chest tube drainage

single-incision VATS

lung surgeries

Abel drainage tube

postoperative pain

hospital stays

thoracic surgical practices

long-term complications

Visual Analogue Scale

lung cancer surgeries