NCT03230019

Two-Lumen Catheterization For Lung Wedge Resection

Two-Lumen Catheterization Versus Chest Tube Placement in Patients With Lung Wedge Resection: A Prospective Randomized Trial

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 96 (estimated)
• Sponsor: Wen-zhao ZHONG · Unknown
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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.

Detailed 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.

Conditions

• Thoracic Surgery, Video-Assisted

Interventions

Type	Name	Description
PROCEDURE	chest tube	VATS with chest tube placement
PROCEDURE	two-lumen catheterization	VATS with two-lumen catheterization long the midclavicular line, second intercostal space
DEVICE	two-lumen catheter	central venous catheter(two-lumen 7-Fr-20cm)

Timeline

• Start date: 2017-08-25
• Primary completion: 2019-10-01
• Completion: 2019-10-30
• First posted: 2017-07-26
• Last updated: 2018-11-14

Locations

1 site across 1 country: China