Application of digital drainage system after da Vinci robot-assisted lobectomy:A retrospective cohort study
Objective To investigate the clinical effect of digital drainage system(DDS)in patients after robot-assisted lobectomy.Methods The clinical data of the patients who underwent da Vinci robot-assisted lobectomy from August 2020 to December 2021 were retrospectively analyzed.The patients were divided into a DDS group and a conventional group(using traditional single thoracic drainage tube device)according to different drainage devices used after operation.The preoperative data,intraoperative blood loss,total drainage volume within 48 h after operation,postoperative extubation time and postoperative hospital stay were compared between the two groups.Results Finally,170 patients were collected,including 76 males and 94 females with an average age of 61.8±8.7 years.Postoperative extubation time[5.53(6.00,7.00)days vs.6.36(6.00,8.00)days,Z=-2.467,P=0.014]and postoperative hospital stay[7.80(8.00,10.00)days vs.8.94(9.00,10.00)days,Z=-2.364,P=0.018]in the DDS group were shorter than those in the conventional group.For patients with postoperative persistent air leak,postoperative extubation time(Z=-2.786,P=0.005)and postoperative hospital stay(Z=-2.862,P=0.003)in the DDS group were also shorter than those in the conventional group.Conclusion DDS has a positive effect on enhanced recovery after robot-assisted lobectomy,which is safe and stable,and is beneficial to postoperative rehabilitation and shortening the average hospital stay.
Digital drainage systemda Vinci robotlobectomyenhanced recovery after surgery