Improved Drainage Strategy for Patients With Lung Wedge Resection

Status Not yet recruiting

Clinical Trial Summary

This study evaluates the viability and safety of two-lumen catheterization versus complete omission of chest tube in patients with lung wedge resection. Half of participants will receive complete omission of chest tube, 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% cases, and some of them need re-intervention. Hence, the investigators designed a intra-operative two-lumen catheterization as improved drainage strategy. Therefore, this study evaluates the viability and safety of two-lumen catheterization versus omission of chest tube placement in patients with lung wedge resection. ;

Study Design

Related Conditions & MeSH terms

Drainage

Clinical Trial Details

NCT number	NCT04207671
Study type	Interventional
Source	Guangdong Provincial People's Hospital
Contact	Jia-Tao Zhang, Ph.D
Phone	+86-83827812-51311
Email	18820792959@163.com
Status	Not yet recruiting
Phase	N/A
Start date	March 2020
Completion date	May 2022

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT02158299` - Contrast The Role of Avitene And OK-432 in Reducing Seroma Formation After Axillary Lymphadenectomy for Breast Cancer	Phase 4
Completed	`NCT00828893` - Navigation Guidance Gestures Carried Out Under CT	Phase 2/Phase 3
Recruiting	`NCT00797121` - Preoperative Biliary Drainage for Resectable Hilar Cholangiocarcinoma	Phase 4
Completed	`NCT01097135` - Evaluating the Effectiveness of 2 Surgical Skin Preparation Methods in Reducing Surgical Wound Drainage After Total Hip or Knee Replacement	N/A
Completed	`NCT00940446` - A Comparison of INSORB Staples With Metal Staples in Total Hip Replacement	N/A
Recruiting	`NCT04931576` - No Drainage During Transoral Endoscopic Thyroidectomy Vestibular Approach(TOETVA)	N/A
Completed	`NCT03231072` - Pleural Effusion Drainage in Mechanically Ventilated Patients Monitored by EIT	N/A
Not yet recruiting	`NCT06141044` - Prophylactic Abdominal Drainage vs no Drainage After Distal Pancreatectomy	N/A
Completed	`NCT03055676` - Prospective Multicenter Trial of Early Versus Late Drain Removal After Pancreaticoduodenectomy	N/A
Recruiting	`NCT02845258` - Treatment of Pancreatic Pseudocysts by Endoscopic Ultrasound-guided Drainage
Not yet recruiting	`NCT05688137` - Abdominal Drainage in the Postoperative Period of Liver Transplantation (DRALIT)	N/A
Completed	`NCT05267860` - The Efficacy and Safety of Using Prophylactic Abdominal Drainage After Cholecystectomy	N/A
Completed	`NCT01896219` - CTNAV II : Multicentric Evaluation of IMACTIS-CT Navigation System	N/A