| Objective Systematic review of postoperative efficacy and meta-anal ysis of thoracic drainage tube and no thoracic drainage tube after thoracos copic partial pneumonectomy.Methods We search Pub Med,Wanfang data base,CNKI,and Web of Science were searched by computer to collect ra ndomized controlled studies(RCT),cohort studies,and case-control studieson the efficacy of chest drainage tube placement versus no placement aft er thoracoscopic partial pneumonectomy.The search period was from Janu ary 2000 to present.Two reviewers independently screened articles and ex tracted data to evaluate the risk of literature bias.Meta-analysis was perf ormed with the statistical method Stata.Results A total of 15 articles were included,including 1 RCT and 14 cohort studies.A total of 1524 p atients were included,including 819 patients in the test group(no postope rative chest drainage tube group)and 705 patients in the control group(p ostoperative chest drainage tube group).Meta-analysis results: Compared with the control group,the length of hospital stay in the test group was shorter [MD =-1.3,95% CI =(-1.23,-0.17),P < 0.00001];There was n o significant difference in operation time between the two groups [MD =-2.37,95% CI =(-1.71,2.30),P = 0.32];the incidence of pneumothorax was higher in the postoperative test group [RD = 0.06,95% CI=(0.01,0.10),P = 0.01];there was no significant difference in the incidence of po stoperative complications between the two groups [RR = 2.43,95% CI=(0.70,1.80),P = 0.39];there was no significant difference in the reinterv ention rate of postoperative complications [RD = 0.02,95% CI=(-0.00,0.04),P = 0.05];there was no significant difference in postoperative subcut aneous emphysema: [RD = 0.02,95% CI =(-0.01,0.06),P = 0.20];There was no significant difference in the incidence of postoperative pleural effu sion: [RD = 0.04,95% CI=(-0.01,0.09),P = 0.10].Conclusion Compa red with the group with chest drainage tube placement after thoracoscopicpartial pneumonectomy(control group),the test group could shorten the hospital stay.Although the incidence of postoperative pneumothorax was h igher than that of the control group,the operation time,incidence of post operative subcutaneous emphysema,incidence of in-hospital complications,and reintervention rate of in-hospital complications were not statistically significant between the two groups.Considering that no chest drainage tu be may be placed after partial pneumonectomy. |
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