{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:18:28Z","timestamp":1787008708181,"version":"build-2736575974"},"reference-count":29,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["NSFC82002427"],"award-info":[{"award-number":["NSFC82002427"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["NSFC30801132"],"award-info":[{"award-number":["NSFC30801132"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p\/>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>Chest tube (CT) drainage is a main cause of postoperative pain in lung surgery. Here, we introduced a novel drainage strategy with bi-pigtail catheters (PCs) and conducted a randomized controlled trial to compare with conventional CT drainage after uniportal video-assisted thoracic surgery lung surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>A single-centre, prospective, open-labelled, randomized controlled trial (ChiCTR2000035337) was conducted with a preplanned sample size of 396. The primary outcome was the numerical pain rating scale (NPRS) on the first postoperative day. Secondary outcomes included other indicators of postoperative pain, drainage volume, duration of drainage, postoperative hospital stay, incidence of postoperative complications, CT reinsertion and medical costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>A total number of 396 patients were randomized between August 2020 and January 2021, 387 of whom were included in the final analysis. The baseline and clinical characteristics of the patients were well balanced between 2 groups. The NPRS on the first postoperative day was significantly lower in the PC group than in the CT group (2.40\u2009\u00b1\u20091.27 vs 3.02\u2009\u00b1\u20091.39, p\u2009&amp;lt;\u20090.001), as well as the second\/third-day NPRS, the incidence of sudden severe pain (9\/192, 4.7% vs 34\/195, 17.4%, P\u2009&amp;lt;\u20090.001) and pain requiring intervention (19\/192, 9.9% vs 46\/195, 23.6%, P\u2009&amp;lt;\u20090.001). In addition, the medical cost in the PC group was lower (US$7809\u2009\u00b1\u20091646 vs US$8205\u2009\u00b1\u20091815, P\u2009=\u20090.025). Univariable and multivariable analyses revealed that the drainage strategy was the only factor influencing the incidence of pain requiring intervention.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>The drainage strategy with bi-PCs in patients undergoing uniportal video-assisted thoracic surgery lung surgery alleviates postoperative pain with adequate safety and efficacy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ejcts\/ezad411","type":"journal-article","created":{"date-parts":[[2023,12,9]],"date-time":"2023-12-09T19:00:30Z","timestamp":1702148430000},"source":"Crossref","is-referenced-by-count":8,"title":["Perioperative outcomes of bi-pigtail catheter drainage strategy versus conventional chest tube after uniportal video-assisted thoracic lung surgery"],"prefix":"10.1093","volume":"64","author":[{"given":"Liwei","family":"Song","sequence":"first","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xingshi","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Radiology, Shanghai Chest Hospital, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Qian","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Zhangjiagang Third People's Hospital , Suzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhui","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, Zhejiang Hospital Affiliated to Zhejiang University School of Medicine , Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zuodong","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiantao","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianxiang","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jia","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingquan","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Oncological Surgery, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine , Shanghai, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinghua","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Oncological 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