Coaxial Drainage Versus Standard Chest Tube After Pulmonary Lobectomy

Coaxial Drainage Versus Standard Chest Tube After Pulmonary Lobectomy: a Randomized Controlled Study

Objectives: Chest tubes are routinely inserted after thoracic surgery procedures in different size and numbers. The aim of this study is to assess the efficacy of Smart Drain Coaxial drainage compared with two standard chest tubes in patients undergoing thoracotomy for pulmonary lobectomy. 98 patients (57 males and 41 females, mean age 68.3±7.4 years) with lung cancer undergoing open pulmonary lobectomy were randomized in two groups: 50 received one upper 28-Fr and one lower 32-Fr standard chest tube (ST group) and 48 received one 28-Fr Smart Drain Coaxial tube (CT group). Hospitalization data, quantity of fluid output, air leaks, radiograph findings, pain control and costs were assessed.

Inclusion Criteria:

• age more than 18 years
• patients scheduled for pulmonary lobectomy

Exclusion Criteria:

• middle lobectomy,
• extended resections, minimally invasive lobectomies,
• previous ipsilateral thoracic surgery,
• induction chemo and/or radiotherapy
• patients who did not give consent to participate.