The Application Value of Intercostal Suturing in Preventing Postoperative Thoracoscopic Lung Resection Chest Wall Pulmonary Hernia

N/AEnrolling By InvitationNCT06924515

Mingjian Ge104 enrolled

Overview

The purpose of this trial is to understand whether intercostal suture can effectively prevent postoperative chest wall lung herniation, mainly to verify the following questions Can intercostal suture reduce postoperative chest wall lung herniation The hemostatic effect and hemostatic time of intercostal suture on intercostal muscle incision bleeding during surgery The researchers will divide the participants into two groups, one group will receive intercostal suture, and the other group will not receive intercostal suture, that is, conventional suture The participants will Receive or not receive intercostal suture during surgery Hemostatic effect and hemostasis time of rib intermuscular incision bleeding during surgery Chest CT will be reviewed 3 months after surgery to observe the chest wall incision

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

104

Conditions

VATS Lung Hernia

Interventions

止血完成后使用结扎缝合引线器夹持1-0规格的PDS可吸收缝线在主操作口的头侧上一肋间穿入，于副操作空使用双关节分离钳在胸腔内抓持缝线后将缝线从结扎缝合引线器脱离，此时在主操作口足侧下一肋间穿入结扎缝合引线器，在胸腔内由分离钳夹持缝线经结扎缝合引线器钩爪夹持后将缝线牵拉出胸腔外，以此依次行连续缝合共5次缝合引线操作后拉拢缝线将主操作口闭合，打结结束缝合完成肋间肌及壁层胸膜的缝合。

Eligibility

Sex: MALEMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patients undergoing lung resection via multiport thoracoscopic surgery * Age greater than or equal to 18 years * No history of thoracic surgery Exclusion Criteria: * Be converted to a thoracoscopic-assisted mini-thoracotomy,a rib retractor becomes necessary. * Be converted to thoracotomy or a conventional posterolateral incision may be necessary based on the specific intraoperative circumstances. * Uniportal thoracoscopic surgery * History of ipsilateral thoracic surgery

Outcomes

Primary Outcomes

Postoperative chest CT at 3 months

Postoperative follow-up chest CT:If the CT indicates that the lung tissue at the main incision site has herniated through the intercostal space to the outside of the rib bony structure,it is considered positive;otherwise,it is negative.

Time frame: From enrollment to the end of treatment at 3 months

Hemostasis time

Record the bleeding condition at the intercostal incision. If there is bleeding at the intercostal incision, record the hemostasis time in detail.

Time frame: From enrollment to the end of surgery

Secondary Outcomes

Postoperative drainage volume within 3 days

Record the volume of closed thoracic drainage every 24 hours,and document for 3 days postoperatively.

Time frame: Postoperative Day 1,Day 2,Day 3