2024 World Conference on Lung Cancer (WCLC) - ePosters-EP.07A.21 Tubeless Strategy after Thoracoscopic Pulmonary Wedge Resection: A Better Choice for Specific Patients

EP.07A.21 Tubeless Strategy after Thoracoscopic Pulmonary Wedge Resection: A Better Choice for Specific Patients

Pdf Summary

The study investigated the viability of a tubeless postoperative strategy for patients who underwent pulmonary wedge resection via video-assisted thoracoscopic surgery between September 2020 and March 2024. It focused on comparing outcomes between patients who had traditional catheter drainage (Catheter group) and those who did not require intubation post-surgery (No Intubation group). Utilizing propensity score matching (PSM) for precise comparison, the study matched 56 cases in each group based on baseline characteristics.<br /><br />Results highlighted that the operative time was significantly shorter in the No Intubation group (67.50 minutes) compared to the Catheter group (82.00 minutes). However, there was no significant difference observed in postoperative complications, pain levels, reintubation rates, or hospitalization duration between the groups.<br /><br />The study concluded that omitting thoracic drainage in select patients—those evaluated during surgery as having a low risk of complications—was feasible and could improve patient recovery experience and satisfaction. This approach, termed the tubeless strategy, appears to offer a viable alternative to catheter drainage, potentially enhancing wound recovery and relieving postoperative discomfort.<br /><br />Overall, the tubeless strategy is proposed as a suitable alternative for specific patients undergoing pulmonary wedge resection, aiming to optimize surgical recovery while maintaining safety.

Asset Subtitle

You Wu

Meta Tag

Speaker You Wu

Topic Early-Stage Non-small Cell Lung Cancer

Keywords

tubeless strategy

pulmonary wedge resection

video-assisted thoracoscopic surgery

catheter drainage

no intubation group

propensity score matching

operative time

postoperative complications

patient recovery

thoracic drainage