Two-Lumen Catheterization For Lung Wedge Resection

Status Recruiting

Clinical Trial Summary

This study evaluates the viability and safety of two-lumen catheterization versus chest tube placement in patients with lung wedge resection. Half of participants will receive routine chest tube placement, while the other half will receive a two-lumen central venous catheterization along the midclavicular line, second intercostal space for remedial gas-remove.

Clinical Trial Description

With the development of video-assisted thoracoscopic surgery (VATS) techniques, minimally invasive thoracic surgery has evolved considerably over the last three decades. The concept of "tubeless" involves non-intubated anesthesia with spontaneous ventilation and no chest tube placement. Chest tube placement always causes pain, and its duration is known to be one of the most important factors influencing hospital stay and costs. Early tube removal allows patients to breathe deeply with less pain, which leads to more compliance with chest physiotherapy, as demonstrated by a concomitant improvement in patients' ventilatory function. Hence, more and more experienced surgeons choose the omission of chest tube placement after lung wedge resection. However, based on previous retrospective studies, residual pneumothorax was noted in about 10~40% cases, and some of them need re-intervention. Hence, the investigators designed a intra-operative two-lumen catheterization for remedial gas-remove. Therefore, this study evaluates the viability and safety of two-lumen catheterization versus chest tube placement in patients with lung wedge resection. ;

Study Design

Related Conditions & MeSH terms

Thoracic Surgery, Video-Assisted

Clinical Trial Details

NCT number	NCT03230019
Study type	Interventional
Source	Guangdong Provincial People's Hospital
Contact	Wen-Zhao Zhong
Phone	18820792959
Email	18820792959@163.com
Status	Recruiting
Phase	N/A
Start date	August 25, 2017
Completion date	October 30, 2019

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