Author of

• 20180

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  P2.16 - Surgery (ID 717)

  • Event: WCLC 2017
  • Type: Poster Session with Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/17/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)

  • 23558

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    P2.16-027 - Comparison of Single Chest Tube Versus Double Chest Tube Drainage After Lung Resection for the Treatment of Non-Small Cell Lung Cancer (ID 9573)

    09:30 - 09:30  |  Author(s): B. Kołodziejczyk
    • Abstract

    Background:
    After pulmonary resections, one or two chest tubes are used, and the choice is based mainly on local habits rather than on evidence. The aim of the study was to evaluate the efficacy of chest drainage after lung resection using single chest tube versus two chest tubes in patients with non-small cell lung cancer (NSCLC).
    
    Method:
    Single-centre prospective randomized trial including patients who underwent anatomical lung resection for NSCLC between February 2016 and may 2017. At the end of the operation, patients were randomized in a 1:1 ratio, to the single tube group or to the two tubes group. On the day of surgery, controlled suction of -20 mmHg was used, switched on the 1st postoperative day to -8 mmHg. Chest tubes were removed in the absence of air leak for more than 24 hours, and the chest tube output <250 mL/day.
    
    Result:
    There were 357 patients enrolled, including 219 men, mean age 64.43 years (range: 22-84) and 138 women, mean age 64.06 years (range: 24-85). One chest tube was used in 176 patients, including 50 cases of VATS lobectomy and 126 cases of open lobectomy. Two chest tubes were used in 181 patients, including 35 patients after VATS lobectomy and 146 after open lobectomy. In the single chest tube group there was significantly shorter air leak time (4.25 vs. 4.5 day; p = 0.001, drainage time (3.6 vs 4.7 day; p = 0.0001), and postoperative hospital stay (6.15 vs 7.5 day; p <0.0011. Multivariate regression analysis demonstrated that time of chest tube drainage after cessation of the air leak depends on the volume of chest tube output in the first 6 hours (p = 0.00001) and the time of air leak (p = 0.0014), regardless of the number of drains.
    
    Conclusion:
    Single chest tube after anatomical lung resections is associated with shorter air leak, shorter drainage time, shorter hospital stay compared to two chest tube drainage. Routine use of single chest tube is safe and effective treatment.