- Following video-assisted thoracoscopic surgery (VATS) for lung cancer, a drainage system in which a double-lumen catheter is inserted for prophylactic and remedial air extraction is noninferior to a routine chest tube but with significantly lower pain scores.
Why this matters
- VATS procedures are becoming more common, and tubeless drainage could boost patient recovery.
- Prospective, randomized, noninferiority trial.
- 84 patients with lung cancer underwent VATS lung wedge resection followed by insertion of a prophylactic air-extraction catheter (PC; n=40) or routine chest tube (RT; n=44) for chest drainage.
- Funding: None disclosed.
- Rates of pneumothorax, pleural effusion, and lung infection were similar between groups.
- Patients in the PC group reported significantly less pain via the numeric rating scale pain scores (1.6±0.7 vs 2.4±1.2; P=.001).
- Chest tube reinsertion was required in 1 person in the RT group and none in the PC group.
- Single-center study.