Postoperative chest tube management for patients undergoing lobectomy: evidence-based practice
Postoperative management of chest tubes following lobectomy remains controversial and might eventually lead to increased health care cost and unnecessary interventions (1). Combining clinical expertise with the best available evidence from systematic reviews and/or meta-analysis have shown to decrease variability in clinical practice leading to improved health care outcomes (2). Unfortunately, few cardiothoracic surgery practices are evidence-based (3). The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery thought to investigate this by performing a systematic review of the literature on the postoperative management of chest tube in patients undergoing lobectomy based on current published data using American College of Physicians Task Force grading system (4,5).