From: Tubeless uniportal thoracoscopic wedge resection with modified air leak test and chest tube drainage
Perioperative outcomes | Tubeless group (n = 55) | Drainage group (n = 55) | P-value |
---|---|---|---|
Operation time (range) (min) | 59.3 ± 10.6 | 52.8 ± 11.4 | 0.16 |
SpO2 (%) | 96.1 ± 2.8 | 96.0 ± 2.6 | 0.97 |
EtCO2 (mmHg) | 44.9 ± 4.8 | 45.1 ± 5.3 | 0.82 |
Blood loss (range) (ml) | 10.7 ± 6.9 | 10.2 ± 7.1 | 0.83 |
Preoperative CT-guided localization | 50 (90.9%) | 51 (92.7%) | 0.92 |
Thoracic adhesion (%) | 0.79 | ||
Adhesion | 3 (5.4%) | 2 (3.6%) | |
No adhesion | 52 (94.6%) | 53 (96.4%) | |
Operative method | 0.11 | ||
Wedge resection only | 36 (65.4%) | 33 (60.0%) | |
Wedge resection with lymphadenectomy | 19 (34.6%) | 22 (40.0%) | |
Number of lymph node resection | 2.1 ± 1.9 | 2.4 ± 2.1 | 0.85 |
Time to drink water (range) (min) | 129 ± 22.5 | 133 ± 19.9 | 0.57 |
Drainage duration (range) (days) | N/A | 1.9 ± 0.9 | / |
Hospital stays after surgery | 1.5 ± 0.5 | 2.5 ± 0.8 | < 0.01 |
Pneumothorax | 0.94 | ||
No | 40 (72.7%) | 43 (78.2%) | |
Pneumothorax (observation) | 15 (27.3%) | 12 (21.8%) | |
Pneumothorax (intervention required) | 0 (0.0%) | 0 (0.0%) | |
Subcutaneous emphysema | 0.81 | ||
No | 46 (83.6%) | 47 (85.4%) | |
Subcutaneous emphysema (observation) | 9 (16.4%) | 8 (14.6%) | |
Subcutaneous emphysema (intervention required) | 0 (0.0%) | 0 (0.0%) | |
Pleural effusion required drainage | 1 (1.8%) | 1 (1.8%) | 1.00 |
Prolonged tube drainage > 3 days | 0 (0.0%) | 0 (0.0%) | 1.00 |
Irritable cough | 6 (10.9%) | 7 (12.7%) | 0.86 |
Postoperative hemoptysis | 21 (38.2%) | 24 (43.6%) | 0.52 |
Atrial fibrillation | 0 (0.0%) | 0 (0.0%) | 1.00 |
Mortality | 0 (0.0%) | 0 (0.0%) | 1.00 |
VAS score (POD1) | 1.0 ± 0.7 | 3.0 ± 0.9 | < 0.01 |
VAS score (POD3) | 0.5 ± 0.5 | 1.1 ± 1.5 | < 0.01 |
VAS score (POD7) | 0.4 ± 0.4 | 0.7 ± 0.4 | 0.31 |
VAS score (POD30) | 0.2 ± 0.3 | 0.4 ± 0.5 | 0.64 |
VAS score (POD60) | 0.1 ± 0.2 | 0.1 ± 0.2 | 1.00 |
Wound healing | 0.15 | ||
Satisfied | 54 (98.2%) | 51 (92.7%) | |
Unsatisfied | 1 (1.8%) | 4 (7.3%) | |
Debridement required | 0 (0%) | 0 (0%) |