Cheng Kaisheng, Yuan Miao, Yang Gang, He Taozhen, Luo Dengke, Liu Chenyu, Wang Zongyu, Yang Jiayin, Li Fei, Yang Guangxian, Li Yonggang, Xu Chang
Department of Pediatric Surgery, West China Hospital, Sichuan University, Chengdu, China.
Liver Transplant Center, Department of General Surgery, West China Hospital, Sichuan University, Chengdu, China.
Sci Rep. 2024 Dec 30;14(1):31570. doi: 10.1038/s41598-024-75565-0.
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.
本研究旨在探讨先天性肺发育不良患儿胸腔镜肺叶切除术后不放置胸管的安全性和效果。对2014年1月至2023年1月期间四家医院的632例接受胸腔镜肺叶切除的先天性肺发育不良患者进行了一项多中心回顾性研究，将其分为无胸管（NCT）组和胸管（CT）组。比较了两组的基线数据、手术及随访结果。NCT组共纳入312例患者，CT组共纳入320例患者。两组基线数据无统计学显著差异。NCT组的FLACC量表评分低于CT组（2.7±0.43 vs. 5.8±0.26，p = 0.027）。CT组术后住院时间中位数显著长于NCT组（5天 vs. 3天，p = 0.045）。CT组有8例（2.5%）患者发生胸管相关感染（p = 0.004）。NCT组有6例患者发生肺不张，明显少于CT组的18例患者（p = 0.014）。在选定的先天性肺发育不良儿科患者中不放置胸管可能是安全的，可避免胸管相关并发症，也可能有助于快速康复。
