Trial reportEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2019
The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trial†.
Trial report in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 40 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Suction on Post-Operative Chest Tubes After Video-Assisted Thoracoscopic Surgery Lobectomy for Presumed or Confirmed Primary Lung Cancer - At Which Level?
Study to Evaluate a Low Suction (LS) Versus Standard Suction (SS) Strategy for Patients Undergoing Minimally Invasive Lung Resection by VATS or Robotic Approach
Who cites it
40 citing papers in PubMed.
- Progressive Versus Conservative Chest Tube Management Following Surgery for Primary Spontaneous Pneumothorax.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2026Article
- Optimal suction pressure on digital drainage systems for the management of postoperative air leaks together with IL-2 therapy: a retrospective cohort study.BMC pulmonary medicine · 2026Article
- Design optimization and clinical prospects of a novel portable split-type negative pressure thoracic drainage device.Frontiers in medicine · 2026Article
- Digital Versus Conventional Chest Drainage Systems in Resource-limited Setting: A Comparative Analysis.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- The evolution of chest tube management following lung cancer surgery: many options, scarce evidence.Translational lung cancer research · 2025Review
- Chest drain through utility vs separate incision in single-port video-assisted thoracoscopic lobectomy: a randomized controlled trial.Annals of medicine and surgery (2012) · 2025Article
- Early versus late chest tube removal after surgery for primary spontaneous pneumothorax-a systematic review and meta-analysis.Journal of thoracic disease · 2025Article
- A novel closed chest drainage device.Frontiers in medicine · 2025Article
- Chest drainage outcomes by water seal versus low suction on digital drainage systems after lung resection: retrospective study.Journal of thoracic disease · 2024Article
- Chest Tubes and Pleural Drainage: History and Current Status in Pleural Disease Management.Journal of clinical medicine · 2024Review
- Patent conversion of a novel closed chest drainage device.Journal of cardiothoracic surgery · 2024Article
- Drainology: Leveraging research in chest-drain management to enhance recovery after cardiothoracic surgery.JTCVS techniques · 2024Article
- Advancements in the Management of Postoperative Air Leak following Thoracic Surgery: From Traditional Practices to Innovative Therapies.Medicina (Kaunas, Lithuania) · 2024Review
- Suction versus non-suction drainage strategy after uniportal thoracoscopic lung surgery: a prospective cohort study.Journal of thoracic disease · 2024Article
- Article
- Predictors of reoperation after lung volume reduction surgery.Surgical endoscopy · 2024Article
- The process and safety of removing chest tubes 4 to 12 hours after robotic pulmonary lobectomy and segmentectomy.JTCVS open · 2023Article
- Days alive and out of hospital after video-assisted thoracoscopic surgery wedge resection in the era of enhanced recovery.BJS open · 2023Article
- Continuous perioperative heart rate variability monitoring in video-assisted thoracoscopic surgery lobectomy-a pilot study.Journal of clinical monitoring and computing · 2023Article
- Intraoperative prevention and conservative management of postoperative prolonged air leak after lung resection: a systematic review.Journal of thoracic disease · 2023Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe optimal level of suction on digital chest drainage devices after lobectomy using video-assisted thoracoscopic surgery (VATS) is unknown and varies between thoracic centres. In this randomized controlled trial, we assessed the potential benefits of low suction of -2 cmH2O compared to -10 cmH2O, using a digital drainage device.
methodsTwo hundred and twenty-eight patients were randomized into 2 groups after VATS lobectomy for suspected or confirmed lung cancer. Primary outcome was time to chest drain removal. Drain data were obtained from the digital drainage devices, and patient data were obtained from medical records during admission, with a follow-up until postoperative day 30.
resultsFor the -2 cmH2O and -10 cmH2O groups, median (interquartile range) drainage duration was 27.4 h (23.3-71.2) and 47.5 h (24.5-117.8) (P = 0.047), and the incidence of prolonged air leak >5 days was 14.4% and 24.3% (P = 0.089), respectively. Median total fluid production was 566 h (329-1155) ml and 795 h (454-1605) ml (P = 0.007). Median time to consistent air leak cessation (<20 ml/min) was 5.2 h (0.3-34.2) and 23.7 h (0.8-90.8) (P < 0.001). There were no differences in the proportion or the size of the pneumothorax or subcutaneous emphysema after drain removal, and no differences were observed in postoperative morbidity. Median length of in-hospital stay was 2.0 days (2.0-5.8) and 3.0 days (2.0-9.0) (P = 0.18).
conclusionsA low suction level significantly shortened drainage duration, time to air leak cessation and total fluid production, without increasing morbidity. CLINICAL TRIAL REGISTRATION NUMBER: NCT02911259.
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Registered trials
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