Thoracic Surgery Lung, Post-operative Thoracic Air Leak
Conditions
Keywords
pulmonary resection, chest tube, segmentectomy, lobectomy
Brief summary
The purpose of this study is to explore whether the addition of Hemopatch to standard care can reduce prolonged air leaks and shorten the use of air drainage tube after surgery in thoracic lung surgery patients at high risk for prolonged air leaks.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age ≥18 years * High risk of prolonged air leak due to at least one of the following reasons: * Preoperative FEV1\<80% * DLco \< 80% * LVRS (lung volume reduction surgery o pneumoplastica riduttiva) * Anticipation of intraoperative adhesions (ie, redo surgery) * Previous induction chemotherapy for locally advanced NSCLC * Chronic steroid use * Pleural mesothelioma * Candidate to one of the following major thoracic surgical intervention: * Decortication * Reintervention on the same side of the previous intervention * Segmentectomy * Lobectomy with incomplete fissures on CT scan * Written informed consent.
Exclusion criteria
* Pregnancy or breast-feeding * Evidence of confusion or disorientation, or history of major psychiatric illness that may impair the patient's understanding of the Informed Consent Form or their ability to comply with study requirements * Any unstable systemic disease (including active infections, any significant hepatic, renal or cardiovascular disease), metabolic dysfunction, physical examination finding, or clinical laboratory finding that contraindicates or prevents or the execution of surgery * Known hypersensitivity to bovine proteins or brilliant blue (FD&C Blue No.1)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| number of days from time of extubation to time of drainage tube removal | up to 7 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| number of days to end of air leak | up to 7 days | air leak measure are recorded every 6 hours |
| worst grade toxicity per patient | up to 6 weeks | according to Common Terminology Criteria for Adverse Events version 4.0 |
| change in quality of life | baseline, one week, one month | — |
| number of days from surgical intervention to patient discharge | up to 2 weeks | — |
Countries
Italy