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Chest tube drainage placement may not be a necessity in paediatric thoracoscopic surgery: a retrospective study

Part of: Surgery

Published online by Cambridge University Press:  14 May 2021

Gang Zhang ,
Dandan Liu ,
Ruiming Kuang ,
Chun Cai ,
Xiao Li ,
Gang Yu Open the ORCID record for Gang Yu [Opens in a new window]  and
Xiujing Fan
Gang Zhang
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Dandan Liu
Affiliation:
Department of Ultrasound Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Ruiming Kuang
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Chun Cai
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Xiao Li
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Gang Yu*
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
Xiujing Fan
Affiliation:
Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China
*
Author for correspondence: Gang Yu, Department of Pediatric Surgery, The Third Affiliated Hospital of Guangzhou Medical University, No. 63 Duobao Road, Liwan District, Guangzhou City, Guangdong Province, 510150, China. Tel: +86-18766872307. E-mail: 415371975@qq.com
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Abstract

Objective:

Chest tube drainage placement, a standard procedure in video-assisted thoracoscopic surgery, was reported to cause perioperative complications like pain and increased risk of infection. The present study was designed to evaluate the necessity of chest tube drainage inpaediatric thoracoscopic surgery.

Methods:

Thirty children admitted to our hospital from April 2018 to April 2020 were included in the current study and were grouped as the tube group (children receiving video-assisted thoracoscopic surgery with chest tube drainage) and the non-tube group (children receiving video-assisted thoracoscopic surgery without chest tube drainage). Laboratory hemogram index, length of hospitalisation, post-operative performance of involved children, and psychological acceptance of indicated therapy by guardians of the involved children were investigated.

Results:

Laboratory examination revealed that the mean corpuscular haemoglobin concentration in the non-tube group was significantly higher than that in the tube group on post-operative day 1 (p < 0.05). Children in the non-tube group had a shorter length of hospitalisation (7–9 days) than that of patients from the tube group. Additionally, the frequency of crying of children was decreased and psychological acceptance by patients’ guardians was improved in the non-tube group when compared with the tube group.

Conclusion:

This study showed that chest tube drainage placement may not be necessary in several cases of paediatric video-assisted thoracoscopic surgery. Rapid recovery with decreased perioperative complications in children operated by video-assisted thoracoscopic surgery without tube placement could also reduce the burden of the family and society both economically and psychologically.

Keywords

Video-assisted thoracoscopic surgerychest tube drainagechildrenperioperative complications
Type
Original Article
Information
Cardiology in the Young , Volume 32 , Issue 2 , February 2022 , pp. 198 - 202
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Copyright
© The Author(s), 2021. Published by Cambridge University Press

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Footnotes

#

These authors contributed equally to this paper.

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