Mediastinal Nodes
Conditions
Keywords
uniportal video-assisted thoracoscopic surgery, mediastinal nodes, chest drainage, pigtail catheter
Brief summary
Pigtail catheter(PC) has been used for thoracic drainage in the patients with pneumothorax or traumatic hemothorax/hemopneumothorax, and some study indicated that PC could obtain similar outcomes when comparing with chest tube(CT). Although PC could drain air and fluid out from pleural cavity and also help pulmonary re-expanding, rare reports are available to thoracic post-operative management. Uniportal video-assisted thoracoscopic surgery(VATS) has been widely applied in many medical center in recent years, most of mediastinal nodes could be resected under uniportal-VATS. This study aims to further study the application of 12G PC during post-operative management and comparing the validity and safety between PC(12G) and CT(16F) after uniportal-VATS for mediastinal nodes resection.
Interventions
DEVICE12G pigtail catheter
12G pigtail catheter would be used for post-operative chest drainage after uniportal-VATS for mediastinal nodes resection when comparing with the traditional 16F chest tube.
DEVICE16F chest tube
16F chest tube would be used for post-operative chest drainage after uniportal-VATS for mediastinal nodes resection when comparing with 12G pigtail catheter.
Sponsors
Tongji Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Between 18 and 80 years of age. 2. Diagnosed with potentially resectable mediastinal mass. 3. With indication for uniportal-VATS. 4. For whom informed consent will be obtained before the study.
Exclusion criteria
1. Previous thoracic surgery at the same side. 2. Have to receive open surgery although uniportal-VATS is planned. 3. Pregnancy. 4. Refuse to sigh the consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| total drainage volume | 1 month |
| tube duration | 1 month |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| infection rate of incision | 1 month | — |
| length of hospital stay after surgery | 1 month | — |
| post-operative pain | 3 days after operation | assessed via the Visual Analogue Scale (VAS) which ranging from 0 (no pain) to 10 (worst imaginable pain). |
| satisfaction of the incision after healing | 1 month | Patients would be asked if they are satified with the appearence of the healed incision at the one-month follow-up evalution. |
| rate of chest tube re-insertion or thoracocentesis | 1 month | — |
| rate of subcutaneous emphysema | 1 month | — |
Outcome results
None listed