Treatment for postoperative air leakage in patients undergoing U-VAT pulmonary lobectomy Surgery
Conditions
Interventions
The intervention involves a double chest tube strategy for managing post-surgical pleural blood: a 20F chest drainage tube without extra holes and a 19F round type of flexible silicone tube equipped w
Sponsors
Zhongda Hospital Southeast University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Preoperative assessment or intraoperative frozen section confirming non-small cell lung cancer (NSCLC) 2. A clinical diagnosis of stage I to IIIA disease, as classified by the 8th edition of the TNM classification for lung cancer 3. Age between 18 and 75 years
Exclusion criteria
Exclusion criteria: 1. Preoperative complications such as atelectasis, pulmonary infection, or tuberculosis 2. Presence of hemothorax or empyema 3. History of a previous lobectomy 4. Significant dense pleural adhesions 5. Tumors that had invaded the chest wall (T3 classification) 6. Requirement for a bilateral lobectomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to chest tube removal in full days following lobectomy. The criteria for removing chest tube included: (1) the drainage volume less than 200 ml over the preceding 24 h; (2) absence of intrathoracic hemorrhage or air leakage, and (3) no signs of pleural effusion or atelectasis. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The incidence of prolonged postoperative air leakage measured using monitoring by daily observation of the water seal chamber. 2. The total cumulative volume of chest drainage measured using daily counting the records of the chest chamber. 3. The postoperative hospital stay measured by counting at the time of discharge from hospital. 4. The incidence of postoperative complications and mortality measured by counting the records of the electronic hospital charts at the time of discharge from hospital. | — |
Countries
China
Contacts
Public ContactHongyan Li
Outcome results
None listed