The Affection of Two Chest Management for Enhanced Recovery Program After Video-assisted Thoracoscopic Lobectomy.

The First Affiliated Hospital of Soochow University60 enrolled

Overview

Comparing the influences of different chest tube managements for enhanced recovery program after video-Assisted thoracoscopic lobectomy.

The Enhanced Recovery Program has a series of observation data contains hospitalization days, adverse events, drainage, extubation, visual analogue scale(VAS) scores and the number of analgesic using.The investigators plan to enroll 60 patients and divide them into two groups to compare the influences of different chest tube managements for enhanced recovery program after video-assisted thoracoscopic lobectomy.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Chest Tube

Interventions

Large size tubeOTHER

Patients in Group A are inserted the large size tube (28F).

Drainage ballOTHER

Patients in Group B are inserted the small-bore tube connects with a negative pressure ball(drainage ball).

Eligibility

Sex: ALLMin age: 30 YearsMax age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Only single lesion on the targeted lobe * Considered as invasive carcinoma by preoperative computed tomography (CT) or -diagnosed by intraoperative pathology * Patients have signed informed consent. Exclusion Criteria: * Patients have critical basic disease(diabetes and hypertension). * Patients who lung function cannot undertake the lobectomy. * The lesion has the possibility of metastasis. * Finding serious adhesion to pleura during operation

Locations (1)

First Affiliated Hospital, Soochow University

Suzhou, Jiangsu, China

Outcomes

Primary Outcomes

Hospitalization days

The numbers of days of patients stay in the hospital after surgery

Time frame: From the first days after surgery to discharge,up to 4 weeks.

Secondary Outcomes

VAS scores

VAS(Visual Analogue Score) is a method to value the degree of patient's pain after surgery.This method has a scale range from 1 to 10.Patient chose a number from it to represent his(her) pain.The "1" represents painless and the "10" represents sever pain which he(she) unable to bear. The pain is increasing with the increasing of number.

Time frame: Pain is measured by VAS on the first 24 hours of after operation and the first 24 hours after tube removing.

Analgesics

The number of analgesics using after surgery.

Time frame: Counting the total analgesics using times through study completion, an average of 3 months.

Drainage

The total volume of fluid.

Time frame: Measure the volume every 24 hours,up to 4 weeks

Pulmonary recruitment

Chest X-Ray

Time frame: The first 24 hours after surgery and 8 hours before leaving hospital.

Adverse event

Air-leakage or seepage from the surrounding of tube.

Time frame: Counting the times of adverse events through study completion, an average of 3 months.

Data from ClinicalTrials.gov

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