机构：[1]Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union MedicalCollege National Cancer Center, Beijing 100021, China[2]Department of Emergency Medicine, Sir Run-Run Shaw Hospital, Zhejiang UniversitySchool of Medicine, Hangzhou 310016, China[3]Calle/Luis Fernandez Castañón 2, Oviedo, Spain[4]Department of Thoracic Surgery, St. James’sUniversity Hospital, Leeds, UK[5]Mayo Clinic, Phoenix, AZ, USA[6]Department of Thoracic Surgery, Second Affiliated Hospital, MedicalCollege of Zhejiang University, Hangzhou 310009, China[7]Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai 200433,China[8]Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fujian 350001, China[9]Department of Thoracic Surgery,Guangdong General Hospital, Guangzhou 510080, China广东省人民医院[10]Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai 200030,China[11]Department of Anesthesiology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei 10002,Taiwan[12]Section of General Thoracic Surgery, University of California, Davis Health System, Sacramento, CA, USA[13]Department ofAnesthesiology and Critical Care Medicine, University of Florida, Gainesville, FL, USA[14]Department of Thoracic Surgery, StrasbourgUniversity Hospital, Strasbourg, France[15]Department of Thoracic Surgery, University of Torino, Torino, Italy[16]Department of ThoracicSurgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China华中科技大学同济医学院附属同济医院[17]CardiothoracicSurgery, Emory University, The Emory Clinic, Atlanta, GA, USA[18]Department of Anaesthesia and Postoperative Care, Hospital GeneralUniversitario Gregorio Marañon, Madrid, Spain[19]Department of Thoracic Surgery, Coruña University Hospital, Coruña, Spain[20]Departmentof Thoracic Surgery, Institut Mutualiste Montsouris, Paris, France[21]Department of Cardiothoracic Surgery, Rigshospitalet (National UniversityHospital), Copenhagen, Denmark[22]Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000, China[23]Guangzhou Institute of Respiratory Disease & China State Key Laboratory of Respiratory Disease & NationalClinical Research Center for Respiratory Disease, Guangzhou 510000, China[24]Department of Cardiothoracic Surgery and Section for SurgicalPathophysiology, Copenhagen University Hospital, Rigshospitalet, Blegdamsvej 9, 2100 Copenhagen, Denmark[25]Department of ThoracicSurgery, First Affiliated Hospital, Medical College of Zhejiang University, Hangzhou 310003, China浙江大学医学院附属第一医院[26]Department of Thoracic Surgery, YunnanCancer Hospital, Kunming 650100, China[27]Division of Thoracic Surgery, Faculty of Medicine and Psychology, Sant’Andrea Hospital, Universityof Rome ‘Sapienza’, Rome, Italy[28]Center for Thoracic Surgery, Department of Medicine and Surgery, University of Insubria, Varese, Italy[29]Charité Kompetenzzentrum für Thoraxchirurgie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117 Berlin, Germany[30]Department of Esophageal Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, China[31]Department of Thoracic Surgery,Shandong Qianfoshan Hospital, Jinan 250014, China[32]Department of Thoracic and Cardiovascular Surgery, College of Medicine, KoreaUniversity Guro Hospital, Seoul, Korea[33]Department of Thoracic Surgery, Peking Union Medical College Hospital, Beijing 100032, China[34]Department of Thoracic Surgery, Beijing Chaoyang Hospital, Beijing 100049, China北京朝阳医院[35]Department of Thoracic Surgery, Sichuan CancerHospital and Institute, Chengdu 610041, China四川省肿瘤医院[36]Department of Thoracic Surgery, Tangdu Hospital Fourth Military Medical University, Xi’an710038, China[37]Henan Cancer Hospital, Zhengzhou 450008, China河南省肿瘤医院[38]Department of Thoracic Surgery, Sir Run Run Shaw Hospital, ZhejiangUniversity School of Medicine, Hangzhou 310016, China[39]Imperial College and The Academic Division of Thoracic Surgery, Royal BromptonHospital, Sydney Street, London, UK[40]Division of Thoracic Surgery, Department of Surgery, Sun Yat-Sen Cancer Center, Taipei, Taiwan[41]Department of Thoracic Surgery, China and Japan Friendship Hospital, Beijing 100029, China[42]Department of Cardiovascular and ThoracicSurgery, West China Hospital, Sichuan University, Chengdu 610041, China四川大学华西医院[43]Department of Thoracic Surgery, Liaoning Cancer Hospital andInstitute, Shengyang 110042, China[44]Department of Thoracic and Cardiovascular Surgery, Sanger Heart and Vascular Institute, CarolinasMedical Center, Charlotte, NC, USA[45]Department of Thoracic Surgery, The First Hospital Affiliated to Soochow University, Suzhou 215000,China[46]Department of Thoracic Surgery, Zhejiang Cancer Hospital, Hangzhou 310000, China浙江省肿瘤医院[47]Department of Surgery, The ChineseUniversity of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong, China[48]Thoracic Surgery Service, University Hospital ofSalamanca, Paseo de San Vicente 58-182, 37007 Salamanca, Spain[49]Second Department of Surgery, Yamagata University Faculty of Medicine,Yamagata, Japan[50]Leeds Institute of Cancer and Pathology, Leeds, UK[51]Department of Thoracic Surgery, Guangzhou General Hospital ofGuangzhou Military Area Command, Guangzhou 510000, China[52]Thoracic Surgery Department, United Hospitals of Ancona, Via SanVincenzo 5/f Polverigi, Ancona, Italy[53]Department of Thoracic Surgery and Oncology, National Cancer Institute, Pascale Foundation, Naples,Italy[54]Unit of Thoracic Surgery, Ospedali Riuniti Ancona, Ancona, Italy[55]Department of Surgery, The University of Hong Kong, Queen MaryHospital, Hong Kong, China[56]Department of Thoracic Surgery, Shanghai Zhongshan Hospital of Fudan University, Shanghai 200032, China[57]Department of Thoracic Surgery, Daping Hospital, Research Institute of Surgery Third Military Medical University, Chongqing 400042,China[58]Department of Thoracic Surgery, Second Affiliated Hospital of Jilin University, Changchun 130041, China[59]Cardiac and ThoracicDepartment, Private Hospital “St.Lukes”, Thessaloniki, Greece[60]Department of Surgery “Paride Stefanini” - Thoracic Surgery Unit, PoliclinicoUmberto I, University of Rome SAPIENZA, Rome, Italy[61]Robotic Surgery, Division of Thoracic Surgery, Humanitas Research Hospital, ViaManzoni 56, Rozzano, Italy[62]University of Miami, Coral Gables, FL, USA[63]Department of Thoracic Surgery, Southwest Hospital, ThirdMilitary Medical University, Chongqing 400038, China[64]Department of Thoracic Surgery, General Hospital of Shenyang Military Area,Shenyang 110015, China[65]Department of Surgical Oncology, St Vincent’s Hospital, Melbourne, Australia[66]Department of Surgery, St Vincent’sHospital, University of Melbourne, Melbourne, Australia[67]Division of Surgical Oncology, Peter MacCallum Cancer Centre, Melbourne,Australia[68]Department of Cardiovascular and Thoracic Surgery, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000,China[69]Department of Thoracic Surgery, Zhongda Hospital Affiliated to Southeast University, Nanjing 210009, China[70]Department ofThoracic Surgery, Jiangsu Cancer Hospital, Nanjing 210008, China[71]Department of Thoracic Surgery, Heilongjiang Cancer Hospital, Harbin150049, China[72]Department of Thoracic Surgery, Peking University Third Hospital, Beijing 100083, China[73]Department of CardiovascularSurgery, Second Xiangya Hospital of Central South University, Changsha 410011, China[74]Department of Thoracic Surgery, Xiangya Hospital,Central South University, Changsha 410008, China[75]Cancer Center, San Yat-sen University, Guangzhou 510060, China[76]Department ofThoracic Surgery, The First Affiliated Hospital of Xinjiang Medical Hospital, Urumqi 830011, China[77]Department of Thoracic Surgery, TanjinChest Hospital, Tianjin 300300, China[78]Department of Thoracic Surgery, Renji Hospital, Shanghai Jiaotong University School of Medicine,Shanghai 200003, China[79]Department of Thoracic Surgery, Shanghai Changzheng Hospital, Shanghai 200000, China[80]Department of ThoracicSurgery, Xuanwu Hospital of Capital University of Medical Sciences, Beijing 100053, China首都医科大学宣武医院[81]Department of Thoracic Surgery, West ChinaHospital, Sichuan University, Chengdu 610041, China
The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery conducted a systematic review of the literature in an attempt to improve our understanding in the postoperative management of chest tubes of patients undergoing pulmonary lobectomy. Recommendations were produced and classified based on an internationally accepted GRADE system. The following recommendations were extracted in the present review: (I) chest tubes can be removed safely with daily pleural fluid of up to 450 mL (non-chylous and non-sanguinous), which may reduce chest tube duration and hospital length of stay (2B); (II) in rare instances, e.g., persistent abundant fluid production, the use of PrRP/B <0.5 when evaluating fluid output to determine chest tube removal might be beneficial (2B); (III) it is recommended that one chest tube is adequate following pulmonary lobectomy, except for hemorrhage and space problems (2A); (IV) chest tube clearance by milking and stripping is not recommended after lung resection (2B); (V) chest tube suction is not necessary for patients undergoing lobectomy after first postoperative day (2A); (VI) regulated chest tube suction [-11 (-1.08 kPa) to -20 (1.96 kPa) cmH(2)O depending upon the type of lobectomy] is not superior to regulated seal [-2 (0.196 kPa) cmH(2)O] when electronic drainage systems are used after lobectomy by thoracotomy (2B); (VII) chest tube removal recommended at the end of expiration and may be slightly superior to removal at the end of inspiration (2A); (VIII) electronic drainage systems are recommended in the management of chest tube in patients undergoing lobectomy (2B).
第一作者机构：[1]Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union MedicalCollege National Cancer Center, Beijing 100021, China[*1]Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Cancer Center, Beijing 100021, China
共同第一作者：
通讯作者：
通讯机构：[1]Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union MedicalCollege National Cancer Center, Beijing 100021, China[*1]Department of Thoracic Surgical Oncology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Cancer Center, Beijing 100021, China
推荐引用方式(GB/T 7714)：
Shugeng Gao,Zhongheng Zhang,Javier Aragón,et al.The Society for Translational Medicine: clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy[J].JOURNAL OF THORACIC DISEASE.2017,9(9):3255-3264.doi:10.21037/jtd.2017.08.165.
APA：
Shugeng Gao,Zhongheng Zhang,Javier Aragón,Alessandro Brunelli,Stephen Cassivi...&Qinghua Zhou.(2017).The Society for Translational Medicine: clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy.JOURNAL OF THORACIC DISEASE,9,(9)
MLA：
Shugeng Gao,et al."The Society for Translational Medicine: clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy".JOURNAL OF THORACIC DISEASE 9..9(2017):3255-3264
