Thoracoscopic Exploration in Comparison to Exploratory Thoracotomy in Chest Trauma

Not Applicable

Not yet recruiting

• Conditions: Thoracic Injury
• Interventions: Procedure: Video Assisted Thoracoscopic Surgery (VATS)

• Registration Number: NCT05991570
• Lead Sponsor: Assiut University

Brief Summary

Video-assisted thoracic surgery has a standard role in diagnosis and therapy in thoracic surgery, In the past, most patients necessitating surgical treatment secondary to chest trauma was exposed to open thoracotomy, which was the most morbid of surgical incisions

Detailed Description

Video-assisted thoracoscopic surgery has become a popular and acceptable method for diagnosis of intra-thoracic lesions since 1990s with the developments in surgical techniques. It is also used for treatment of retained pleural collections, it is a simple alternative to open thoracotomy. Although it's multiple advantages, timing of surgery and its effects on patients' results are not well elucidated. Multiple studies report that prognosis of patients is better with the earlier interventions in injured chest. However, there is so many differences for the optimal time for surgery in these studies .

Indications of VATS have been extended for management of diagnosis and treatment of chest trauma since 1990. This approach has multiple advantages as chest tube setting, minimally invasive surgery, less postoperative pain, and chest exploration. Today, VATS is used for empyema, persistent pneumothorax, retained haemothorax, mediastinal and diaphragmatic exploration, pleuro-pericardial ruptures, surgery for thoracic duct injury and aspiration of symptomatic foreign bodies.

Study Timeline

• Study First Submitted: 2023-08-06
• Study First Submitted QC: 2023-08-11
• Study First Posted: 2023-08-14
• Status Verified: 2023-11
• Last Update Submitted: 2023-11-15
• Last Update Posted: 2023-11-18
• Study Start: 2023-12-30
• Primary Completion: 2025-12-30
• Study Completion: 2026-01-15

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

1. patient aged more than 13 yards old
2. Hemo-dynamically stable patients with chest trauma
3. Willing and able to provide written informed consent and comply with study requirements.

Exclusion Criteria

1. patient aged less than 13 yards old.
2. Hemo-dynamically instable patients
3. Head trauma patients.
4. missing informed consent
5. Participation in another clinical research.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
case	Video Assisted Thoracoscopic Surgery (VATS)	Use of vedio assisted thoracoscopic surgery in exploration in diagnosis and treatment of chest trauma patients whos heamodynamically stable
control	Video Assisted Thoracoscopic Surgery (VATS)	exploratory thoracotomy inchest trauma patients in failure of vedio assisted thoracoscopic surgery or in haemodynamically instable patients

Primary Outcome Measures

Name	Time	Method
Duration of airleak, lung expansion and post operative bleeding.	2 weaks postoperative	• Duration of complete healing: By; 1. Radiological (chest x-ray ant-post view and lat view \& MSCT chest post-operative.; 2. Clinical examination post operative.