Moreno-Benítez MF, Corrales-Valenzuela JD, Salazar-Otaola GF, Olivares-Torres CA

Language: Spanish
References: 9
Page: 80-84
PDF size: 135.44 Kb.

ABSTRACT

Currently, video-assisted thoracoscopy (VATS) surgery is the most commonly used approach to obtain lung parenchyma biopsies as a diagnostic and therapeutic method since this approach significantly improves postoperative morbidity and decreases hospital stay, thanks to the fact that the instruments used in VATS have improved considerably, resulting in fewer injuries on the chest wall compared to the thoracotomy injury, which has decreased unexpected effects, therefore hospitals have included this in outpatient surgery programs. In most thoracic surgeries, the endopleural catheter is placed as a postsurgical drainage tube. In different studies, postoperative patients with pulmonary biopsy taken by VATS with the placement of endopleural catheter vs without endopleural catheter have been compared, with the purpose of finding advantages and disadvantages of this procedure. These studies demonstrated a decrease in hospital stay, pain and the use of analgesics in patients without endopleural catheter, which concluded in a better outcome, as well as a decrease in hospital costs. In this study, the differences of avoiding the use of endopleural catheters versus the patients that have been placed endopleural catheter were compared, focusing on the postoperative pain using the visual analog scale (VAS) and the days of hospital stay. This study was carried out based on the clinical records of 16 adult patients with ages ranging from 25 to 75 years old, which required pulmonary biopsy via VATS. Eight of them with post-surgical endopleural tube placement and the rest of them without placement. We used Student's t-statistical analysis, obtaining significant differences in postoperative pain (p < 0.05), and resulting in a reduce of hospital stay but without a significant difference (p > 0.05), therefore it could be verified that omitting endopleural catheter in post-operated patients of VATS is an effective and safe procedure. In conclusion, avoiding the use of pleural drainage reduces hospital stay (p > 0.05) as well as minor pain in postoperative patients without pleural drainage (p < 0.001).

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