C34 C78.0
Conditions
Interventions
Group 1: 20 Patients with a 14 Charrière thoracic drainage
Group 2: 20 Patients with a 24 Charrière thoracic drainage
Sponsors
Universitäres Thoraxzentrum Mainz
Eligibility
Sex/Gender
All
Age
18 Years to 90 Years
Inclusion criteria
Inclusion criteria: Inclusion criteria are all patients over 18 years who are targeted for anatomic lobectomy using a minimally invasive technique, regardless of whether the lesion is benign, primary bronchial carcinoma, or pulmonary metastasis from another primary. Written informed consent from patients is assumed. Also included will be patients who undergo subsequent lobectomy after an intraoperative frozen section (wedge resection/segmental resection).
Exclusion criteria
Exclusion criteria: The following subjects were excluded: - No lobectomy using minimally invasive technique (wedge resection extension, bilobectomy/pneumonectomy, conversion thoracotomy). - Creation of a 2nd trocar access - History of congenital/acquired coagulopathy - Use of direct oral anticoagulants - Intraoperative evidence of severe adhesions (adhesions involving a complete lobe of the lung that is not resected. Large, wide adhesions that must be released using sharp dissection). - Deviation from standard postoperative pain management regimen (patient refusal of paravertebral catheter/pain medication). - Chronic analgesic therapy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary target parameters: The following parameters will be recorded: - Pain in the first three days postoperatively twice daily (BID). - drainage time - length of hospital stay - Reintervention: irrigation of the drain, repositioning of the drain, placement of an additional drain, re-VATS, placement of a new drain after previous drainage. - Number and type of postoperative complications (e.g., pneumonia, atrial fibrillation, urinary tract inflammation, etc.). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary target parameter: The above parameters are collected with patient data routinely obtained during the inpatient stay (medical record). This includes, but is not limited to: type of surgery (which flap), previous disease profile, laboratory parameters, and pre- and postoperative radiological and clinical findings. | — |
Countries
Germany
Contacts
Public ContactEric Rößner
Universitäres Thoraxzentrum Mainz
Outcome results
None listed