Application Of 8Fr Chest Guide Tube After Uniportal Video-assisted Thoracoscopic Surgery For Lung Cancer

Objective:To explore the safety and safety of indwelling 8Fr central venous catheter(hereinafter referred to as 8Fr chest drainage tube)in the original incision after uniportal Video-assisted Thoracoscopic Surgery(U-VATS)lobectomy and lymph node dissection in patients with lung cancer for closed thoracic drainage Feasibility and its clinical advantages.Methods : The 120 patients with lung cancer who underwent Video-assisted Thoracoscopic Surgery(VATS)lobectomy who were continuously admitted from July2018 to October 2020 in the Department of Thoracic Surgery,Affiliated Hospital of Inner Mongolia Medical University were randomly divided into the following three groups: U-40 cases in the original incision indwelling 8Fr chest guide tube group after VATS lobectomy lymph node dissection;40 cases in the original incision indwelling 28 Fr chest guide tube group after U-VATS lobectomy lymph node dissection;Single Port Video-assisted Thoracoscopic Surgery,SP-VATS)After lobectomy and lymph node dissection,there were 40 cases in the 28 Fr chest catheter group with indwelling mirror hole.Record and compare and analyze three groups of general information(age,gender,smoking history,concomitant diseases,etc.),postoperative NRS pain score,postoperative drainage tube carrying time,postoperative hospital stay,drainage port A healing status,postoperative drainage volume,Postoperative complications(gas,fluid,pulmonary infection,subcutaneous emphysema,atelectasis),the incidence of secondary catheterization and other clinical indicators.Result:The operations of the three groups of patients were successfully completed,and there were no serious complications or deaths after the operation.1.The three groups of patients are in gender,age,smoking history,preoperative concomitant disease,surgical resection site(left upper lobe,left lower lobe,right upper lobe,right middle lobe,right lower lobe,right lower middle and lower right lung).Leaf),pathological types(adenocarcinoma,squamous cell carcinoma,adenosquamous carcinoma,small cell carcinoma,carcinoid),the difference was not statistically significant,P>0.05.2.Comparison of the dynamic and static NRS pain scores between the three groups on the first,second,and third days after surgery.After U-VATS lobectomy lymph node dissection,the original incision 28 Fr chest guide tube group and SP-VATS lobectomy lymph node The pain degree of the indwelling 28 Fr chest guide tube group after dissection was higher than that in the U-VATS lobectomy lymph node dissection group with 8Fr chest guide tube in the original incision,the difference was statistically significant,P<0.05.3.Postoperative drainage tube indwelling time in the three groups(3.4±1.7 days VS4.6±2.2 days VS 4.6±2.4 days,P<0.05);postoperative hospital stay(5.0±1.4 days VS6.0±1.9 days VS 6.2±2.1 Day,P < 0.05),the U-VATS lobectomy lymph node dissection after the original incision indwelling 8Fr chest guide tube group was better than the U-VATS lobectomy lymph node dissection after the original incision indwelling 28 Fr chest guide tube group and SP-VATS After lobectomy and lymph node dissection,the 28 Fr chest guide tube was placed in the mirror hole group,the difference was statistically significant,P<0.05.4.There was no statistically significant difference between the three groups of patients in terms of drainage on the first day,drainage on the second day,drainage on the third day,postoperative complications,and incision grade A healing,P>0.05.Conclusions:In patients with lung cancer underwent U-VATS lobectomy lymph node dissection,8Fr chest guide tube was placed in the original incision and 28 Fr chest guide tube was placed in the original incision after U-VATS lobectomy lymph node dissection,and 28 Fr was placed in the mirror hole after SP-VATS lobectomy lymph node dissection.The drainage effect of the chest drainage tube is the same;after U-VATS lobectomy,the 8Fr chest drainage tube in the original incision can significantly reduce the pain and discomfort caused by the postoperative drainage tube,reduce the drainage tube indwelling time and postoperative hospital stay,with less trauma,The advantage of the drainage tube orifice that heals well and promotes the patient’s early recovery is that it is safe and feasible for patients with lung cancer to undergo U-VATS lobectomy and lymph node dissection to indwell the 8Fr chest drainage tube in the original incision for closed thoracic drainage.