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- Title
Single chest tube drainage is superior to double chest tube drainage after lobectomy: a meta-analysis.
- Authors
Dong Zhou; Xu-Feng Deng; Quan-Xing Liu; Qian Chen; Jia-Xin Min; Ji-Gang Dai; Zhou, Dong; Deng, Xu-Feng; Liu, Quan-Xing; Chen, Qian; Min, Jia-Xin; Dai, Ji-Gang
- Abstract
<bold>Background: </bold>In this meta-analysis, we conducted a pooled analysis of clinical studies comparing the efficacy of single chest tube versus double chest tube after a lobectomy.<bold>Methods: </bold>According to the recommendations of the Cochrane Collaboration, we established a rigorous study protocol. We performed a systematic electronic search of the PubMed, Embase, Cochrane Library and Web of Science databases to identify articles to include in our meta-analysis. A literature search was performed using relevant keywords. A meta-analysis was performed using RevMan© software.<bold>Results: </bold>Five studies, published between 2003 and 2014, including 630 patients (314 patients with a single chest tube and 316 patients with a double chest tube), met the selection criteria. From the available data, the patients using a single tube demonstrated significantly decreased postoperative pain [weighted mean difference [WMD] -0.60; 95 % confidence intervals [CIs] -0.68-- 0.52; P < 0.00001], duration of drainage [WMD -0.70; 95 % CIs -0.90-- 0.49; P < 0.00001] and hospital stay [WMD -0.51; 95 % CIs -0.91-- 0.12; P = 0.01] compared to patients using a double tube after a pulmonary lobectomy. However, there were no significant differences in postoperative complications [OR 0.91; 95 % CIs 0.57-1.44; P = 0.67] and re-drainage rates [OR 0.81; 95 % CIs 0.42-1.58; P = 0.54].<bold>Conclusion: </bold>Our results showed that a single-drain method is effective, reducing postoperative pain, hospitalization times and duration of drainage in patients who undergo a lobectomy. Moreover, the single-drain method does not increase the occurrence of postoperative complications and re-drainage rates.
- Subjects
CHEST tubes; THORACIC surgery; LOBECTOMY (Lung surgery); LUNG cancer treatment; META-analysis; CLINICAL trials; LENGTH of stay in hospitals; PNEUMONECTOMY; POSTOPERATIVE pain; SURGICAL complications; SYSTEMATIC reviews; TREATMENT effectiveness; MEDICAL drainage
- Publication
Journal of Cardiothoracic Surgery, 2016, Vol 11, p1
- ISSN
1749-8090
- Publication type
journal article
- DOI
10.1186/s13019-016-0484-1