The Feasibility and Safety of Avoiding Chest Tube Placement After Video-assisted Thoracoscopic Surgery (VATS）of the Lung
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lung Diseases
- Sponsor
- Xueying Yang
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- operation time
- Last Updated
- 6 years ago
Overview
Brief Summary
This is a prospective randomized controlled trial.The main study content is the feasibility and safety of avoiding chest tube placement after Video-Assisted Thoracoscopic Surgery lung disease,participants were randomly divided into experimental group and control group.Avoiding chest tube placement after VATS of the lung in the experimental group.Indwelling thoracic drainage tube after VATS of the lung in the control group.
Detailed Description
This is a prospective randomized controlled trial.The main study content is the feasibility and safety of avoiding chest tube placement after VATS of the lung,divided into experiment group and control group.Communicating with surgeon and patients who met the inclusion criteria,decided whether to enter the experimental group or control group. Experimental group avoid chest tube placement after VATS of the lung and control group indwell thoracic drainage tube after VATS of the lung.By collecting personal information of two groups of patients and the corresponding observation indicators to analyze whether the treatment of avoiding chest tube placement after VATS of the lung is more beneficial than the conventional indwell thoracic drainage tube after VATS of the lung,and it's safe and feasible.
Investigators
Xueying Yang
professor
Shengjing Hospital
Eligibility Criteria
Inclusion Criteria
- •1.Age ranges from 18 to 75 years old,do the examination of chest CT showed pulmonary disease,no invasion of peripheral blood vessels and viscera,no pleural effusion and pericardial effusion.
- •2.Electrocardiogram, pulmonary function,color doppler ultrasound of the heart,arteries and veins of both lower limbs are normal,no potential infection was confirmed before surgery, no serious organic disease of the heart and lung,and no obvious operation contrain.
Exclusion Criteria
- •1.The lungs continue to leak air preoperation more than six days. 2.The appearment of the hemothorax,empyema and chylothorax preoperative. 3.The appearment of the preoperative chest X-ray pulmonary atelectasis and pulmonary infection.
- •4.The lungs leak air appears in the surgery. 5.Patients with severe cardiovascular and cerebrovascular accident after operation were terminated.
- •6.Impaired lung function (forced expiratory volume in 1 second \[FEV1\]\<60% predicted).
Outcomes
Primary Outcomes
operation time
Time Frame: 1 day
From the beginnning of ansesthesia to the end of anesthesia
hospitalization expenses
Time Frame: 15 days
the total cost of hospitalzation
postoperative complication rate
Time Frame: a month
incidence of postoperative complications such as pneumothorax and hydrohorax
VAS pain scores
Time Frame: 3 days
the VAS pain score was given to patients and the pain scores were recorded at 6h,12h,24h,48h,and 72h postoperatively.The minimum score is 0 and the maximum score is 10.The high values represent a worse outcome.
postoperative extubation time
Time Frame: 1 day
postoperative extubation time
duration of postoperation pain
Time Frame: 10 days
postoperative pain duration
the time of early ambulation after operation
Time Frame: 1 day
the time from the patient's postoperative pushback to the first bedtime