pulmonary nodule
Conditions
Interventions
Needlescopic VATS group:The operative channel is established using trocars to avoid muscle incision
all other procedures are consistent with conventional thoracoscopy.
Conventional VATS group:Single-port, single-operative-port, or three-port techniques may be employed
all procedures should follow standard operational protocols.
Sponsors
Shanghai East Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age >= 18 years, with signed informed consent; 2. Lesion characteristics: Peripheral type (on CT imaging, a solitary nodule located in the outer one-third of the lung field) a. Suspected primary lung cancer: cT1a-bN0M0, with the maximum diameter of the solid component = 75 years); b. Severe comorbidities (ASA classification >= Grade 3); c. Poor pulmonary function, severe impairment (FEV1%pred < 50% or DLCO < 40%).
Exclusion criteria
Exclusion criteria: 1. Multiple nodules, for which wedge resection is insufficient or simultaneous performance of three or more wedge resections is required; 2. History of ipsilateral thoracic surgery or presence of extensive pleural adhesions; 3. Thoracic deformity or conditions that may affect outcome assessment; 4. History of preoperative induction therapy. 5. Active thoracic infection (such as active pulmonary tuberculosis, purulent pleuritis), severe and uncorrectable coagulation dysfunction, severe cardiopulmonary insufficiency, etc., that cannot be operated on.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain Score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Analgesic consumption;Postoperative complication rate;pulmonary function;Wound Satisfaction;Postoperative hospital stay;Cutting edge distance;Stapler usage;Pain pump usage time;number of presses;Incidence of complications;CRP; | — |
Countries
China
Contacts
Public ContactWentao Fang
Shanghai East hospital
Outcome results
None listed