{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T14:10:16Z","timestamp":1740147016247,"version":"3.37.3"},"reference-count":29,"publisher":"Public Library of Science (PLoS)","issue":"11","license":[{"start":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T00:00:00Z","timestamp":1732233600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100018542","name":"Natural Science Foundation of Sichuan Province","doi-asserted-by":"publisher","award":["2022NSFSC1464"],"award-info":[{"award-number":["2022NSFSC1464"]}],"id":[{"id":"10.13039\/501100018542","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n<jats:title>Objectives<\/jats:title>\n<jats:p>Evidence-based studies optimizing chest tube management have been conducted to accelerate the recovery process for lung cancer patients after video-assisted thoracoscopic surgery (VATS). This study is to evaluate whether using the multi-lateral pores chest tube can achieve better drainage performance than conventional-lateral-pore drainage.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec002\">\n<jats:title>Methods<\/jats:title>\n<jats:p>Data from patients undergoing VATS were consecutively collected from September 2023 to June 2024. The groups were randomized into two subgroups, which were multi-lateral-pores drainage group (MDG) and conventional-lateral-pore drainage group (CDG). The primary outcomes included chest drainage performance, and the secondary outcomes included postoperative complications (PPCs).<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec003\">\n<jats:title>Results<\/jats:title>\n<jats:p>After screening, 228 patients were randomized into two groups, in which 116 patients in MDG and 112 patients in CDG. The daily drainage volume [199.70 (95%CI: 165.19~234.99) mL\/d vs 149.43 (95%CI: 120.70~179.21) mL\/d, P&lt;0.01] and total drainage volume [342.79 (95%CI: 291.91~392.63) mL vs 272.68 (95%CI: 225.87~322.11) mL, P = 0.04] in the MDG was significantly higher that that in the CDG. The drainage duration in the MDG was also less than that in the CDG [36.41 (95%CI: 32.23~40.72) h vs 51.02 (95%CI: 46.03~56.38) h, P &lt; 0.01]. The incidence of pleural effusion was lower in the MDG when compared with that in CDG (1.7% vs 9.0%, P = 0.04). No differences were found in the other incidences of chest tube\u2014related PPCs, including pneumothorax (12.0% vs 15.2%, P = 0.15) and subcutaneous emphysema (17.2% vs 17.9%, P = 0.35), however.<\/jats:p>\n<\/jats:sec>\n<jats:sec id=\"sec004\">\n<jats:title>Conclusions<\/jats:title>\n<jats:p>Based on this single-center analysis, multi-lateral pores chest tube provided better drainage performance after VATS.<\/jats:p>\n<\/jats:sec>","DOI":"10.1371\/journal.pone.0313176","type":"journal-article","created":{"date-parts":[[2024,11,22]],"date-time":"2024-11-22T18:26:25Z","timestamp":1732299985000},"page":"e0313176","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Is it safe and feasible to use multi-lateral-pores drainage strategy after video-assisted thoracoscopic surgery?"],"prefix":"10.1371","volume":"19","author":[{"given":"Yingxian","family":"Dong","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shujun","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-8274","authenticated-orcid":true,"given":"Guowei","family":"Che","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2024,11,22]]},"reference":[{"issue":"2","key":"pone.0313176.ref001","first-page":"258","article-title":"Chest tubes. 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Nonsuction Drainage After Lung Resections: A Prospective Randomized Trial","volume":"102","author":"W Gocyk","year":"2016","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"pone.0313176.ref008","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1620\/tjem.232.55","article-title":"Postoperative drainage with one chest tube is appropriate for pulmonary lobectomy: a randomized trial","volume":"232","author":"M Tanaka","year":"2014","journal-title":"Tohoku J Exp Med"},{"issue":"5","key":"pone.0313176.ref009","doi-asserted-by":"crossref","first-page":"1539","DOI":"10.1016\/j.athoracsur.2009.02.013","article-title":"Fluid drainage and air evacuation characteristics of Blake and conventional drains used after pulmonary resection","volume":"87","author":"N Sakakura","year":"2009","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"pone.0313176.ref010","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1016\/j.ejcts.2009.06.034","article-title":"Impact of chest tube 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