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Pigtail catheter(PC) has been used for thoracic drainage in the patients with pneumothorax or traumatic hemothorax/hemopneumothorax, and some study indicated that PC could obtain similar outcomes when comparing with chest tube(CT). Although PC could drain air and fluid out from pleural cavity and also help pulmonary re-expanding, rare reports are available to thoracic post-operative management. Uniportal video-assisted thoracoscopic surgery(VATS) has been widely applied in many medical center in recent years, most of mediastinal nodes could be resected under uniportal-VATS. This study aims to further study the application of 12G PC during post-operative management and comparing the validity and safety between PC(12G) and CT(16F) after uniportal-VATS for mediastinal nodes resection.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 12G pigtail catheter | Experimental |
| |
| 16F chest tube | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 12G pigtail catheter | Device | 12G pigtail catheter would be used for post-operative chest drainage after uniportal-VATS for mediastinal nodes resection when comparing with the traditional 16F chest tube. |
| Measure | Description | Time Frame |
|---|---|---|
| total drainage volume | 1 month | |
| tube duration | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| post-operative pain | assessed via the "Visual Analogue Scale" (VAS) which ranging from 0 (no pain) to 10 (worst imaginable pain). | 3 days after operation |
| rate of subcutaneous emphysema | 1 month |
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Inclusion Criteria:
Exclusion Criteria:
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| 16F chest tube | Device | 16F chest tube would be used for post-operative chest drainage after uniportal-VATS for mediastinal nodes resection when comparing with 12G pigtail catheter. |
|
| infection rate of incision | 1 month |
| length of hospital stay after surgery | 1 month |
| rate of chest tube re-insertion or thoracocentesis | 1 month |
| satisfaction of the incision after healing | Patients would be asked if they are satified with the appearence of the healed incision at the one-month follow-up evalution. | 1 month |