Application of double thin tube chest drainage in enhanced recovery for teenagers with primary spontaneous pneumothorax after single-port thoracoscopic surgery

Objective To evaluate the efficacy and safety of using double thin tube drainage after single-port thoracoscopic pulmonary bullae resection in the treatment of primary spontaneous pneumothorax(PSP) in teenager. Methods From January 2015 to January 2018, 81 PSP teenage patients were prospectively enrolled and randomly divided into two groups according to the different indwelling drainage tubes. One group was drained by double thin tube( 6F, 16F )(41 cases) and the other group was drained by single 28F thick tube(40 cases). The postoperative recovery and pain scores and other indicators of the two groups were compared. Results The time of keeping drainage tube, length of hospital stay, poor healing of incision and the number of second puncture cases, rest and movement pain scores within 5 days in the double thin tube drainage group were all better than those in the single thick tube group, the difference was statistically significant(P<0.05). Conclusion Double thin tube drainage after single-port thoracoscopic pulmonary bullae resection in teenage PSP patients is more helpful to relieve postoperative pain than single thick tube drainage, and is more conducive for enhanced recovery after surgery. Key words: Primary spontaneous pneumothora; Teenager; Double thin tube drainage; Single-port thoracoscopic; Enhanced recovery after surgery