Modified Versus Traditional Thoracic Drainage After Thoracoscopic Surgery

NCT04309955 | Unknown

• 1 other identifier: Kli3
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Lung cancer is the leading cause of cancer-related death worldwide. Thoracoscopic pulmonary resection is a prevalent management for early stage of lung cancer. Placement of traditional chest tube is the standard procedure after surgery, which causes pain that cannot be ignored. We aimed to determine whether a modified thoracic drainage strategy based on pigtail catheter associated with better clinical results compared with traditional methods after thoracoscopic surgery for lung cancer.

Conditions

Lung Neoplasms; Lung Cancer; Pulmonary Neoplasm; Postoperative Pain; Thoracoscopic Surgery

Keywords

chest tube; pigtail catheters; chest tube drainage; thoracic drainage; Lung Cancer; thoracoscopic surgery; Pulmonary Neoplasm

Outcome Measures

Primary Outcomes (2)

• Chest tube drainage duration

  The number of days from operation day to the day of chest tube removal

  From date of operation until the date of chest tube removal, assessed up to 7 days

• Volume of drainage

  Total volume of thoracic drainage (ml)

  From date of operation until the date of removal of the chest tube and pigtail catheter, assessed up to 7 days.

Secondary Outcomes (1)

• Postoperative hospital stay

  From date of operation until the date of hospital discharge, assessed up to 30 days.

Other Outcomes (1)

• Postoperative pain scores

  Postoperative day 1, 2, 3, 4 and 5.

Study Arms (2)

modified thoracic drainage group

EXPERIMENTAL

After surgery, both a chest tube and a pigtail catheter are inserted into the middle and posterior axillary lines of the 7th intercostal space, respectively.

Procedure: pigtail catheter

traditional thoracic drainage group

NO INTERVENTION

After surgery, only a chest tube is inserted into the midaxillary line of the 7th intercostal space, traditionally.

Interventions

pigtail catheter PROCEDURE

After inserting the chest tube, add a pigtail catheter into the posterior axillary lines of the 7th intercostal.

modified thoracic drainage group

Eligibility Criteria

• Age: 18 Years - 80 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• \<age\<80;
• Patients with lung cancer;
• Thoracoscopic lung resection;
• Single chest-tube insertion.

You may not qualify if:

• A history of preoperative chemotherapy or radiotherapy;
• Presence of distant tumor metastasis;
• Pneumonectomy;
• Dysfunction of cardiorespiratory system or other surgical contraindications.

Sponsors & Collaborators

• Daping Hospital and the Research Institute of Surgery of the Third Military Medical University: lead

Study Sites (1)

Daping Hospital and the Research Institute of Surgery of the Third Military Medical University

Chongqing, Chongqing Municipality, 400042, China

RECRUITING

MeSH Terms

Conditions

Lung Neoplasms; Pain, Postoperative

Condition Hierarchy (Ancestors)

Respiratory Tract Neoplasms; Thoracic Neoplasms; Neoplasms by Site; Neoplasms; Lung Diseases; Respiratory Tract Diseases; Postoperative Complications; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Pain; Neurologic Manifestations; Signs and Symptoms

Central Study Contacts

Li Kun, MD

CONTACT

15023072303; soloonline1981@yeah.net

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Kun Li, MD

Study Record Dates

• First Submitted: March 8, 2020
• First Posted: March 17, 2020
• Study Start: December 1, 2019
• Primary Completion: April 1, 2020
• Study Completion: April 1, 2020
• Last Updated: March 18, 2020

Record last verified: 2020-03

Locations

CN (1)