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. 2021 Sep 26;16(1):271.
doi: 10.1186/s13019-021-01657-x.

Single-port VATS combined with non-indwelling drain in ERAS: a retrospective study

Jiantian Yang  1 , Wencong Huang  1 , Peijian Li  1 , Huizhen Hu  2 , Yongsheng Li  1 , Wei Wei  3
Affiliations

Single-port VATS combined with non-indwelling drain in ERAS: a retrospective study

Jiantian Yang et al. J Cardiothorac Surg. .

Abstract

Background: We investigated single-port video-assisted thoracoscopic surgery (VATS) combined with a postoperative non-indwelling drain in enhanced recovery after surgery (ERAS).

Methods: The clinical data of 127 patients who underwent double- and single-port VATS from January 2018 to December 2019 were analyzed retrospectively. The groups constituted 71 cases undergoing double-port and 56 cases undergoing single-port VATS (30 cases in the indwelling drain group and 26 cases in the non-indwelling drain group). The incidence of postoperative complications, pain scores, and postoperative hospital stay were compared between the two groups.

Results: Compared with the double-port group, the single-port group had shorter postoperative hospital stays and lower pain scores on the first and third postoperative days (P < 0.05). Pain scores on the first and third days were lower in the single-port non-indwelling drain group than in the single-port indwelling drain group (P < 0.05), and the postoperative hospitalization time was significantly shorter in the single-port group (P < 0.05). However, there was no significant difference between the two groups for operation time, incidence of complications, and pain scores 1 month after operation (P > 0.05).

Conclusions: The combination of single-port VATS with a non-indwelling drain can relieve postoperative pain, help patients recover quickly, and is in accordance with ERAS.

Keywords: Enhanced recovery after surgery; Non- indwelling drain; Single-port thoracoscopy.

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Conflict of interest statement

The authors declare that they have no competing interests.

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