Non-small cell lung cancer Lung cancer
Conditions
Interventions
Chest drain omission, defined as leaving the operating room without a chest drain, after anatomical lung resection in patients demonstrating an intraoperative air leak of =20 mL/min, measured in real-
Sponsors
Zuyderland
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Study population: Patients referred for an anatomical lung resection (i.e., (bi)lobectomy or segmentectomy) via video-assisted thoracoscopic surgery (VATS) or robot-assisted thoracoscopic surgery (RATS).The first two inclusion criteria will be assessed prior to the surgery, and the third will be assessed intraoperatively prior to final inclusion in the feasibility arm.Adult patients (= 18 years) of any race or sex. Able to provide informed consent and complete all study-related questionnaires in Dutch.Availability of an intraoperative digital air-leak measurement using a standardised digital drainage system (i.e., Thopaz), showing an air leak of =20 mL/min.
Exclusion criteria
Exclusion criteria: Significant intraoperative complications such as major bleeding requiring transfusion or significant parenchymal lung injury requiring surgical sealant application.Conversion to thoracotomy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary outcome is postoperative chest drain reinsertion after initial chest drain omission. Feasibility is assessed by the number of patients completing the predefined treatment (i.e., anatomical lung resection including chest drain omission without reinsertion). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcomes are postoperative complications (e.g., pneumothorax, pleural effusion, subcutaneous emphysema), length of hospital stay, 30-day readmission and reintervention, quality of recovery, pain scores, and patient satisfaction. | — |
Countries
Netherlands
Contacts
Public ContactER Loos
Zuyderland
Outcome results
None listed