NCT05358158

Chest dRain rEmoval intrAoperatively afTer thoracOscopic Wedge Resection

Efficacy of Avoiding Chest Drain After Video-assisted Thoracoscopic Surgery Wedge Resection

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 94 (actual)
• Sponsor: Rigshospitalet, Denmark · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

Chest drain is used routinely after lung surgery. Despite preliminary studies demonstrate the feasibility and safety of intraoperative chest drain removal, these are either retrospective or mainly concerning benign disease. Hypothesis: Participants treated without post-operative chest tube after thoracoscopic wedge resection have less pain, reduced opioid usage without increasing postoperative complications than participants treated with standard post-operative chest tube, and could possibly be discharged earlier.

Conditions

• Lung Neoplasms
• Lung Surgery
• Enhanced Recovery After Surgery
• Fast-track Surgery
• Pain
• Opioid Use
• Remission

Interventions

Type	Name	Description
PROCEDURE	Intraoperative air leak test	A standard 28 Fr chest drain is inserted through the anterior port hole with all port holes closed. With the tip of the chest tube below water, the pleura is emptied from air during continuous ventilation of the lungs. An air leak after 5 minutes of ventilation indicates a negative sealing test, whereas a cessation of air leak within 5 minutes indicates a positive sealing test.
PROCEDURE	Intraoperative chest drain removal	Chest drain is removed intraoperatively.
PROCEDURE	Standard chest drain placement	Chest drain is left in pleura.

Timeline

• Start date: 2022-05-04
• Primary completion: 2024-03-17
• Completion: 2024-03-17
• First posted: 2022-05-03
• Last updated: 2024-03-20

Locations

2 sites across 1 country: Denmark