Pain and Reasons for Hospitalization in Patients Treated Without Post-operative Chest Tube After Thoracoscopic Wedge Resection - A Randomized Controlled Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Pain
- Sponsor
- Rigshospitalet, Denmark
- Enrollment
- 90
- Locations
- 1
- Primary Endpoint
- Pain
- Last Updated
- 8 years ago
Overview
Brief Summary
Chest tubes are used routinely although preliminary studies demonstrate the feasibility and safety of intraoperative chest drain removal. Previous studies are however either retrospective or mainly concerning benign disease.
Hypothesis: Participants treated without post-operative chest tube after thoracoscopic wedge resection have less pain, better pulmonary function and similar complication profile than participants treated with standard post-operative chest tube, and could possibly be discharged earlier.
Investigators
Bo Laksáfoss Holbek
Medical doctor
Rigshospitalet, Denmark
Eligibility Criteria
Inclusion Criteria
- •Elective thoracoscopic wedge resection
- •Speaks and understands Danish
- •FEV1 \>= 60% of expected
Exclusion Criteria
- •Increased risk of air leak evaluated by surgeon (large adhesions, bullae, emphysema, deep resection, etc.)
- •Increased risk of bleeding evaluated by surgeon (high INR, anticoagulation not paused, large bleeding, etc.)
- •Air leak on intraoperative sealing test
- •Patients previously included in study
- •Planned intraoperative frozen section with possible lobectomy
- •Previously included in current study
- •Planned frozen section diagnostics
- •Previous ipsilateral anatomic lung resection
Outcomes
Primary Outcomes
Pain
Time Frame: Through post-operative admission, an average of 1 day.
Average pain expressed as area under the curve from a numeric rank score at 1, 3, 6 and 9 hours after surgery as well as daily at 8 am and 8 pm from post-operative day 1 until discharge.
Secondary Outcomes
- Reasons for post-operative admission(Through post-operative admission, an average of 1 day.)
- Pneumothorax(Up to post-operative day 1.)
- Lung function(Up to post-operative day 1.)
- Reinsertion of chest tubes(Up to post-operative day 30.)
- Complications(Up to post-operative day 30.)