肺癌术后胸腔引流临床应用新进展

The advancement of postoperative chest drainage in patients with lung cancer

肺癌术后常规留置胸腔引流管,目的在于引流胸腔积液与积气。随着加速康复外科理念的发展,传统胸腔引流在肺癌患者术后快速康复的负面影响日益彰显。近年来肺癌术后的胸腔引流工具、引流管理及引流观念都有更新和进展。本文结合国内外研究,对小孔径引流管的优势与不足、数字引流系统的应用、拔管时机的选择、无引流管安置的适应证、引流管口缝合方式、留置引流管的并发症等方面进行综述。

Chest tube is routinely used after thoracoscopic lung cancer surgery for evacuating air and fluids.Development of enhanced recovery after surgery(ERAS)makes the disadvantages of traditional drainage clearly.In this review,we summarized the advantages and disadvantages of small-bore chest tube,the use of digital drainage system,the time of removing the chest tube,the indications of non chest tube,the improvements of drainage tube hole suture and the complications of chest tube placement after thoracoscopic lung cancer surgery.