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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
98
2 standard postoperative chest tube used
1 postoperative smart drain coaxial tube
Sapienza University of Rome
Roma, Italy
Daily fluid drainage (mL)
Quality of fluid drainage evaluated in mL and by means of a chest X rays
Time frame: 1 postoperative day
Presence of postoperative pneumothorax
Quality of air drainage evaluated by chest X rays
Time frame: 1 postoperative day
presence of pneumothorax after tubes removal
Pneumothorax evaluated by chest x rays
Time frame: within 24 hours after tubes removal
evaluation of pain measured by Visual Analogue Scale
evaluation of patient's pain with a 1 - 10 scale ( 0 no pain - 10 maximum pain)
Time frame: 1 postoperative day
Analysis of costs (in euros)
Evaluation of hospital costs in euros during the hospitalization
Time frame: until discharge, an average of 6 days
Postoperative hospitalization (in days)
Duration of hospitalization in days after the operation
Time frame: until discharge, an average of 6 days
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