Feasibility of uniportal thoracoscopic sublobar resection without chest tube drainage: a retrospective cohort study
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By
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Xiaozun Yang
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Bin Hu
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June 18, 2026
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Clinical Scorecard: Evaluation of Uniportal Thoracoscopic Sublobar Resection Without Chest Tube Drainage: A Retrospective Cohort Analysis
At a Glance
| Category | Detail |
|---|
| Condition | Uniportal thoracoscopic sublobar resection |
| Key Mechanisms | Comparison of outcomes between tubeless strategy and chest tube drainage |
| Target Population | Patients undergoing uniportal thoracoscopic sublobar resection aged ≥18 years |
| Care Setting | Retrospective cohort study in a surgical setting |
Key Highlights
- Pneumothorax occurred in 1.7% of the tubeless group, with no significant difference from the chest tube group.
- Operational time, perioperative blood loss, and hospital stays were lower in the tubeless group.
- Postoperative pain VAS scores were significantly lower in the tubeless group on POD 1 and 2.
Guideline-Based Recommendations
Diagnosis
- Negative intraoperative air leakage test required for inclusion.
Management
- Consider tubeless strategy for selected low-risk patients without intraoperative air leakage.
Monitoring & Follow-up
- Monitor for pneumothorax and other postoperative complications.
Risks
- Potential risk of postoperative pneumothorax and pleural effusion.
Patient & Prescribing Data
Patients undergoing uniportal thoracoscopic sublobar resection with or without chest tube drainage.
Tubeless strategy may reduce postoperative pain and hospital stay.
Clinical Best Practices
- Select patients carefully based on preoperative conditions and air leak test results.
- Utilize a tubeless strategy in cases with expected low risk of complications.
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