Thoracoscopic Exploration in Comparison to Exploratory Thoracotomy in Chest Trauma

Thoracic Injury Clinical Trial

Official title:

Uni-portal Thoracoscopic Exploration in Comparison to Exploratory Thoracotomy in Hemodynamically Stable Thoracic Trauma Patients

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05991570
• Other study ID #: AssiutCTS
• Status: Not yet recruiting
• Phase: N/A
• Start date: December 30, 2023
• Est. completion date: January 15, 2026

Study information

• Verified date: November 2023
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Video-assisted thoracic surgery has a standard role in diagnosis and therapy in thoracic surgery, In the past, most patients necessitating surgical treatment secondary to chest trauma was exposed to open thoracotomy, which was the most morbid of surgical incisions

Description:

Video-assisted thoracoscopic surgery has become a popular and acceptable method for diagnosis of intra-thoracic lesions since 1990s with the developments in surgical techniques. It is also used for treatment of retained pleural collections, it is a simple alternative to open thoracotomy. Although it's multiple advantages, timing of surgery and its effects on patients' results are not well elucidated. Multiple studies report that prognosis of patients is better with the earlier interventions in injured chest. However, there is so many differences for the optimal time for surgery in these studies .

Indications of VATS have been extended for management of diagnosis and treatment of chest trauma since 1990. This approach has multiple advantages as chest tube setting, minimally invasive surgery, less postoperative pain, and chest exploration. Today, VATS is used for empyema, persistent pneumothorax, retained haemothorax, mediastinal and diaphragmatic exploration, pleuro-pericardial ruptures, surgery for thoracic duct injury and aspiration of symptomatic foreign bodies.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 40
• Est. completion date: January 15, 2026
• Est. primary completion date: December 30, 2025
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 13 Years and older

Eligibility

Inclusion Criteria:

1. patient aged more than 13 yards old

2. Hemo-dynamically stable patients with chest trauma

3. Willing and able to provide written informed consent and comply with study requirements.

Exclusion Criteria:

1. patient aged less than 13 yards old.

2. Hemo-dynamically instable patients

3. Head trauma patients.

4. missing informed consent

5. Participation in another clinical research.

Related Conditions & MeSH terms

• Thoracic Injuries
• Thoracic Injury

Intervention

Procedure:
• Video Assisted Thoracoscopic Surgery (VATS)
VATS is minimally invasive procedure for exploration to diagnose and treat thoracic injuries alternative to exploratory thoracotomy.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Duration of airleak, lung expansion and post operative bleeding.	• Duration of complete healing: By; Radiological (chest x-ray ant-post view and lat view & MSCT chest post-operative.; Clinical examination post operative.	2 weaks postoperative