Journal of Cancer Research and Therapeutics

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 12  |  Issue : 8  |  Page : 309--316

The single chest tube versus double chest tube application after pulmonary lobectomy: A systematic review and meta-analysis


Xuefei Zhang, Desheng Lv, Mo Li, Ge Sun, Changhong Liu 
 Department of Thoracic Surgery, The Second Hospital of Dalian Medical University, Dalian 116023, China

Correspondence Address:
Changhong Liu
Department of Thoracic Surgery, The Second Hospital of Dalian Medical University, Dalian
China

Objective: Draining of the chest cavity with two chest tubes after pulmonary lobectomy is a common practice. The objective of this study was to evaluate whether using two tubes after a pulmonary lobectomy is more effective than using a single tube. Patients and Methods: We performed a meta-analysis of five randomized studies that compared the single chest tube with double chest tube application after pulmonary lobectomy. The primary end-point was amount of drainage and duration of chest tube drainage. The secondary end-points were the patient's numbers of new drain insertion after operation, hospital stay after operation, the patient's numbers of subcutaneous emphysema after operation, the patient's numbers of residual pleural air space, pain score, the number of patients who need thoracentesis, and cost. Results: Five randomized controlled trials totaling 502 patients were included. Meta-analysis results are as follows: There were statistically significant differences in amount of drainage (risk ratio [RR] = –0.15; 95% confidence interval [CI] = –3.17, –0.12, P = 0. 03), duration of chest tube drainage (RR = –0.43; 95% CI = –0.57, –0.19, P = 0.02), pain score (P < 0.05). Compared with patients receiving the double chest tube group, there were no statistically significant differences between the two groups with regard to the patient's numbers of new drain insertion after operation. Conclusion: Compared with the double chest tube, the single chest tube significantly decreases amount of drainage, duration of chest tube drainage, pain score, the number of patients who need thoracentesis, and cost. Although there is convincing evidence to confirm the results mentioned herein, they still need to be confirmed by large-sample, multicenter, randomized, controlled trials.


How to cite this article:
Zhang X, Lv D, Li M, Sun G, Liu C. The single chest tube versus double chest tube application after pulmonary lobectomy: A systematic review and meta-analysis.J Can Res Ther 2016;12:309-316


How to cite this URL:
Zhang X, Lv D, Li M, Sun G, Liu C. The single chest tube versus double chest tube application after pulmonary lobectomy: A systematic review and meta-analysis. J Can Res Ther [serial online] 2016 [cited 2017 Dec 11 ];12:309-316
Available from: http://www.cancerjournal.net/article.asp?issn=0973-1482;year=2016;volume=12;issue=8;spage=309;epage=316;aulast=Zhang;type=0