Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study
Abstract This study aimed to investigate the safety and effect of omitting chest tubes after thoracoscopic lobectomy in children with congenital lung malformation. A multicenter retrospective study was performed with 632 thoracoscopic lobectomy CLM patients in four hospitals between 2014.1 and 2023....
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Nature Portfolio
2024-12-01
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| Online Access: | https://doi.org/10.1038/s41598-024-75565-0 |
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| author | Kaisheng Cheng Miao Yuan Gang Yang Taozhen He Dengke Luo Chenyu Liu Zongyu Wang Jiayin Yang Fei Li Guangxian Yang Yonggang Li Chang Xu |
| author_facet | Kaisheng Cheng Miao Yuan Gang Yang Taozhen He Dengke Luo Chenyu Liu Zongyu Wang Jiayin Yang Fei Li Guangxian Yang Yonggang Li Chang Xu |
| author_sort | Kaisheng Cheng |
| collection | DOAJ |
| description | Abstract This study aimed to investigate the safety and effect of omitting chest tubes after thoracoscopic lobectomy in children with congenital lung malformation. A multicenter retrospective study was performed with 632 thoracoscopic lobectomy CLM patients in four hospitals between 2014.1 and 2023.1, which were divided into non-chest tube (NCT)group and chest tube (CT)group. Baseline data, operation and follow-up outcomes were compared. In total, 312 patients were included in the NCT group, and 320 in the CT group. There were no statistically significant differences in baseline data between the two groups. The FLACC scale score in the NCT group was less than the CT group (2.7 ± 0.43 vs. 5.8 ± 0.26 p = 0.027). The median length of postoperative hospital stay in the CT group was significantly longer than the NCT group (5 d vs.3 d, p = 0.045). Eight (2.5%) patients developed chest tube related infections in the CT group(p = 0.004). Six patients developed atelectasis in the NCT group, which was significantly less than the 18 patients in the CT group(p = 0.014). No chest tube placement in selected CLM pediatric patients may be safe and avoid chest tube-related complications, which may also contribute to a rapid recovery. |
| format | Article |
| id | doaj-art-fdf8f99f693f456fb54d5a79c719752b |
| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj-art-fdf8f99f693f456fb54d5a79c719752b2025-01-05T12:24:33ZengNature PortfolioScientific Reports2045-23222024-12-011411710.1038/s41598-024-75565-0Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective studyKaisheng Cheng0Miao Yuan1Gang Yang2Taozhen He3Dengke Luo4Chenyu Liu5Zongyu Wang6Jiayin Yang7Fei Li8Guangxian Yang9Yonggang Li10Chang Xu11Department of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityLiver Transplant Center, Department of General Surgery, West China Hospital, Sichuan UniversityDepartment of Pediatric Surgery, Guizhou Provincial People’s HospitalDepartment of Cardiothoracic Surgery, Hunan Children’s HospitalDepartment of Cardiothoracic Surgery, Children’s Hospital of Chongqing Medical UniversityDepartment of Pediatric Surgery, West China Hospital, Sichuan UniversityAbstract This study aimed to investigate the safety and effect of omitting chest tubes after thoracoscopic lobectomy in children with congenital lung malformation. A multicenter retrospective study was performed with 632 thoracoscopic lobectomy CLM patients in four hospitals between 2014.1 and 2023.1, which were divided into non-chest tube (NCT)group and chest tube (CT)group. Baseline data, operation and follow-up outcomes were compared. In total, 312 patients were included in the NCT group, and 320 in the CT group. There were no statistically significant differences in baseline data between the two groups. The FLACC scale score in the NCT group was less than the CT group (2.7 ± 0.43 vs. 5.8 ± 0.26 p = 0.027). The median length of postoperative hospital stay in the CT group was significantly longer than the NCT group (5 d vs.3 d, p = 0.045). Eight (2.5%) patients developed chest tube related infections in the CT group(p = 0.004). Six patients developed atelectasis in the NCT group, which was significantly less than the 18 patients in the CT group(p = 0.014). No chest tube placement in selected CLM pediatric patients may be safe and avoid chest tube-related complications, which may also contribute to a rapid recovery.https://doi.org/10.1038/s41598-024-75565-0LobectomyChest tubeThoracoscopyCongenital lung malformationPediatric patients |
| spellingShingle | Kaisheng Cheng Miao Yuan Gang Yang Taozhen He Dengke Luo Chenyu Liu Zongyu Wang Jiayin Yang Fei Li Guangxian Yang Yonggang Li Chang Xu Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study Scientific Reports Lobectomy Chest tube Thoracoscopy Congenital lung malformation Pediatric patients |
| title | Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study |
| title_full | Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study |
| title_fullStr | Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study |
| title_full_unstemmed | Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study |
| title_short | Management of chest tube after thoracoscopic lung resection in children with congenital lung malformation: a multicenter retrospective study |
| title_sort | management of chest tube after thoracoscopic lung resection in children with congenital lung malformation a multicenter retrospective study |
| topic | Lobectomy Chest tube Thoracoscopy Congenital lung malformation Pediatric patients |
| url | https://doi.org/10.1038/s41598-024-75565-0 |
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