The Use Of ABLE Central Venous Catheter Following Video-assisted Thoracoscopic (VATS) Wedge Resection Of The Lung: Is It An Acceptable Option?

Objective:to evaluate the safety and efficacy of ABLE central venous catheter following video-assisted thoracoscopic wedge resection of the lung and the advantage of ABLE central venous catheter in the meridian.Methods:From February 2009 to July 2010,60 patients underwent video-assisted thoracoscopic wedge resection and meet the standards at the Thoracic Surgery department, were divided into traditional silicone tube group (30cases) and ABLE central venous catheter group (30cases). The patient age, gender, right:left ratio,disease, adhesion, number of cartridges were equivalent between two groups. The duration of chest tube placement, amount of first day drainage, sum amount of drainage, length of postoperative hospital stay, number of cases using the pethidine,operation of chest tube,complications were compared between two groups. Pain intensity quantified and scored by visual analogue scale when in a resting and cough on postoperative day 1,2,3,5 and pulmonary function were compared between two groups.Results:There was no difference in the duration of chest tube placement, amount of first day drainage,sum amount of drainage, operation of chest tube,complications between the two groups (P>0.05). The length of postoperative hospital stay and the number of cases using the pethidine in traditional silicone tube group were significantly higher than those in ABLE central venous catheter group (P<0.05).The pain score when in a resting and cough on postoperative day 1,2,3 were significantly higher than those in ABLE central venous catheter group (P<0.05);The difference(pain score when in a cough-pain score when in a resting) in traditional silicone tube group were significantly higher than those in ABLE central venous catheter group (P<0.05). On postoperative day 5,there was no difference in the pain score when in a resting between the two groups (P>0.05);The pain score when in a cough in traditional silicone tube group were significantly higher than those in ABLE central venous catheter group(P<0.05). The pain score when in a cough in traditional silicone tube group and ABLE central venous catheter group were significantly higher than the pain score when in a resting.The total score of Traditional Chinese Medicine Symptoms in traditional silicone tube group was significantly higher than that in ABLE central venous catheter group (P<0.05)。Conclusions:Under the proper management,the drainge effect of ABLE central venous catheter and traditional silicone tube is identical following video-assisted thoracoscopic wedge resection of the lung, it is safety in use instead of traditional silicone tube. The use of ABLE central venous catheter smooth the meridian, which will help qi and blood to run and benefit lung function to recover and reduce the clinical symptoms.