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Article

Coaxial Drainage versus Standard Chest Tube after Pulmonary Lobectomy: A Randomized Controlled Study

1
Division of Thoracic Surgery, Department of General Surgery and Organ Transplant “PARIDE STEFANINI”, Policlinico Umberto I, Sapienza University of Rome, 00161 Rome, Italy
2
Thoracic Surgery Unit, Sant’Andrea Hospital, Università La Sapienza, 00189 Rome, Italy
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2022, 29(7), 4455-4463; https://doi.org/10.3390/curroncol29070354
Received: 12 April 2022 / Revised: 2 June 2022 / Accepted: 20 June 2022 / Published: 22 June 2022
(This article belongs to the Special Issue Advancements in Thoracic Surgical Oncology)
Chest tubes are routinely inserted after thoracic surgery procedures in different sizes and numbers. The aim of this study is to assess the efficacy of Smart Drain Coaxial drainage compared with two standard chest tubes in patients undergoing thoracotomy for pulmonary lobectomy. Ninety-eight patients (57 males and 41 females, mean age 68.3 ± 7.4 years) with lung cancer undergoing open pulmonary lobectomy were randomized in two groups: 50 received one upper 28-Fr and one lower 32-Fr standard chest tube (ST group) and 48 received one 28-Fr Smart Drain Coaxial tube (SDC group). Hospitalization, quantity of fluid output, air leaks, radiograph findings, pain control and costs were assessed. SDC group showed shorter hospitalization (7.3 vs. 6.1 days, p = 0.02), lower pain in postoperative day-1 (p = 0.02) and a lower use of analgesic drugs (p = 0.04). Pleural effusion drainage was lower in SDC group in the first postoperative day (median 400.0 ± 200.0 mL vs. 450.0 ± 193.8 mL, p = 0.04) and as a mean of first three PODs (median 325.0 ± 137.5 mL vs. 362.5 ± 96.7 mL, p = 0.01). No difference in terms of fluid retention, residual pleural space, subcutaneous emphysema and complications after chest tubes removal was found. In conclusion, Smart Drain Coaxial chest tube seems a feasible option after thoracotomy for pulmonary lobectomy. The SDC group showed a shorter hospitalization and decreased analgesic drugs use and, thus, a reduction of costs. View Full-Text
Keywords: chest tubes; lobectomy; coaxial tube; health costs chest tubes; lobectomy; coaxial tube; health costs
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MDPI and ACS Style

Bassi, M.; Mottola, E.; Mantovani, S.; Amore, D.; Pagini, A.; Diso, D.; Vannucci, J.; Poggi, C.; De Giacomo, T.; Rendina, E.A.; Venuta, F.; Anile, M. Coaxial Drainage versus Standard Chest Tube after Pulmonary Lobectomy: A Randomized Controlled Study. Curr. Oncol. 2022, 29, 4455-4463. https://doi.org/10.3390/curroncol29070354

AMA Style

Bassi M, Mottola E, Mantovani S, Amore D, Pagini A, Diso D, Vannucci J, Poggi C, De Giacomo T, Rendina EA, Venuta F, Anile M. Coaxial Drainage versus Standard Chest Tube after Pulmonary Lobectomy: A Randomized Controlled Study. Current Oncology. 2022; 29(7):4455-4463. https://doi.org/10.3390/curroncol29070354

Chicago/Turabian Style

Bassi, Massimiliano, Emilia Mottola, Sara Mantovani, Davide Amore, Andreina Pagini, Daniele Diso, Jacopo Vannucci, Camilla Poggi, Tiziano De Giacomo, Erino A. Rendina, Federico Venuta, and Marco Anile. 2022. "Coaxial Drainage versus Standard Chest Tube after Pulmonary Lobectomy: A Randomized Controlled Study" Current Oncology 29, no. 7: 4455-4463. https://doi.org/10.3390/curroncol29070354

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