Feasibility and safety of early chest tube removal after complete video-assisted XXXX .

@entity1 @entity1143 @entity662 @entity2 @entity1514 @entity158 @entity282
OBJECTIVE: The aim was to evaluate the feasibility and safety of early chest tube removal after complete video-assisted @entity1514 (CVATL). METHODS: Retrospective analysis was performed on effects of chest tube removal on @entity1 with @entity2 after pulmonary lobectomy between November 2013 and October 2014. 154 eligible @entity1 included 97 cases for CVATL and 57 cases for open @entity1514 . @entity1 with CVATL were divided randomly into experimental group (EG) and control group (CG), in which 51 @entity1 in EG had chest tube removal on the 2 nd day after operation; 46 @entity1 in CG had the tube removal when the drainage volume <100 ml/day. @entity1 in open @entity1514 group (OG) had the tubes removal as CG. The drainage volumes of the 1 st and 2 nd 24 h after operation, duration of chest tubes, cases of @entity158 alleviation, and recurrent @entity1143 requiring reintervention were measured. RESULTS: The average drainage volume of the 1 st 24 h after operation of CVATL group from EG and CG was significantly reduced than that in OG (260.41 ml vs. 353.16 ml, P < 0.001). The average drainage volume of the 2 nd 24 h after operation of CG was significantly reduced than that in OG (163.91 ml vs. 222.98 ml, P < 0.001). The average duration of chest tube of CG for 2.98 days showed significant different compared with OG for 3.81 days (P < 0.001). Chest tube removal in CVATL group increased more @entity662 alleviation than OG (80.4% vs. 56.1%, P = 0.001). The frequencies of recurrent @entity1143 requiring reintervention were 5.88% (3/51), 4.35% (2/46) and 5.26% (3/57), respectively, which had no significant differences between three groups (P = 1.000). CONCLUSIONS: Complete video-assisted @entity1514 brings less drainage volume after operation. Early removal of chest tube in CVATL shows feasible and safe and demonstrates that it may reduce @entity282 and help fast recovery.
