Chest Tube
Conditions
Keywords
ERAS(Enhanced Recovery After Surgery), Video-assisted thoracoscope lobectomy, Non-Small Cell Lung Cancer (NSCLC), Chest tube
Brief summary
Comparing the influences of different chest tube managements for enhanced recovery program after video-Assisted thoracoscopic lobectomy.
Detailed description
The Enhanced Recovery Program has a series of observation data contains hospitalization days, adverse events, drainage, extubation, visual analogue scale(VAS) scores and the number of analgesic using.The investigators plan to enroll 60 patients and divide them into two groups to compare the influences of different chest tube managements for enhanced recovery program after video-assisted thoracoscopic lobectomy.
Interventions
OTHERLarge size tube
Patients in Group A are inserted the large size tube (28F).
OTHERDrainage ball
Patients in Group B are inserted the small-bore tube connects with a negative pressure ball(drainage ball).
Sponsors
The First Affiliated Hospital of Soochow University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Total 60 patients accept video-Assisted thoracoscopic lobectomy are divided into two groups(Group A and Group B) equally and randomly.Different group takes different chest tube managements.
Eligibility
Sex/Gender
ALL
Age
30 Years to 70 Years
Healthy volunteers
No
Inclusion criteria
* Only single lesion on the targeted lobe * Considered as invasive carcinoma by preoperative computed tomography (CT) or -diagnosed by intraoperative pathology * Patients have signed informed consent.
Exclusion criteria
* Patients have critical basic disease(diabetes and hypertension). * Patients who lung function cannot undertake the lobectomy. * The lesion has the possibility of metastasis. * Finding serious adhesion to pleura during operation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospitalization days | From the first days after surgery to discharge,up to 4 weeks. | The numbers of days of patients stay in the hospital after surgery |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| VAS scores | Pain is measured by VAS on the first 24 hours of after operation and the first 24 hours after tube removing. | VAS(Visual Analogue Score) is a method to value the degree of patient's pain after surgery.This method has a scale range from 1 to 10.Patient chose a number from it to represent his(her) pain.The 1 represents painless and the 10 represents sever pain which he(she) unable to bear. The pain is increasing with the increasing of number. |
| Analgesics | Counting the total analgesics using times through study completion, an average of 3 months. | The number of analgesics using after surgery. |
| Drainage | Measure the volume every 24 hours,up to 4 weeks | The total volume of fluid. |
| Pulmonary recruitment | The first 24 hours after surgery and 8 hours before leaving hospital. | Chest X-Ray |
| Adverse event | Counting the times of adverse events through study completion, an average of 3 months. | Air-leakage or seepage from the surrounding of tube. |
Countries
China
Outcome results
None listed