Observational studyMedicine2025
Comparison of clinical outcomes between non-drainage and conventional drainage after uniportal video-assisted thoracoscopic lobectomy: A retrospective study.
Observational study in Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- From tradition to evidence: a narrative review for standardizing chest tube management after anatomic lung resection.Journal of thoracic disease · 2026Review
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
With the advancement of minimally invasive techniques, uniportal video-assisted thoracoscopic surgery (VATS) for lobectomy has been increasingly adopted due to minimal trauma and faster recovery. Conventionally, chest drains are routinely placed to evacuate air/fluid and monitor complications, but they cause pain, restrict mobility, and prolong hospitalization. Recently, the safety of omitting drains has drawn attention. This retrospective study analyzed 200 patients undergoing uniportal VATS lobectomy, divided into a no-drain group (n = 100) and a drain group (n = 100). Intraoperative parameters, recovery, complications, imaging, pain scores, and satisfaction were compared. Baseline characteristics were comparable (P > .05). Intraoperative blood loss showed no difference (15.2 ± 4.2 mL vs 20.4 ± 5.1 mL, P = .103). The no-drain group achieved earlier ambulation (1.2 ± 0.6 vs 2.3 ± 0.9 days, P < .001) and shorter hospital stay (3.6 ± 1.2 vs 5.2 ± 1.4 days, P < .001). Visual analog scale pain scores were significantly lower at all time points, persisting to day 30 (P < .001). Complication (8% vs 15%, P = .048) and fever rates (12% vs 20%, P = .048) were reduced. Computed tomography on day 3 showed smaller pneumothorax and pleural effusion volumes (P < .001). Suture removal occurred earlier (12.6 ± 2.2 vs 15.0 ± 2.4 days, P < .001). Satisfaction on day 7 was higher in the no-drain group (9.1 ± 0.7 vs 8.3 ± 0.9, P < .001). Omitting chest tubes after uniportal VATS lobectomy is safe and feasible with proper selection. It reduces pain, accelerates recovery, lowers complication rates, and improves satisfaction, supporting wider clinical use.
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