At a glance
ClinicalIndex Comparison RecordStandardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Efficacy of Avoiding Chest Drain After Video-assisted Thoracoscopic Surgery Wedge Resection
In Brief
A clinical study evaluating Intraoperative air leak test, Intraoperative chest drain removal, and 1 other intervention for Lung Neoplasms and 6 related conditions. Completed, enrolled 94 participants across 2 sites.
Detailed Summary
Chest drain is used routinely after lung surgery. Despite preliminary studies demonstrate the feasibility and safety of intraoperative chest drain removal, these are either retrospective or mainly concerning benign disease. Hypothesis: Participants treated without post-operative chest tube after thoracoscopic wedge resection have less pain, reduced opioid usage without increasing postoperative complications than participants treated with standard post-operative chest tube, and could possibly be discharged earlier.
Study Details
Timeline
Interventions
A standard 28 Fr chest drain is inserted through the anterior port hole with all port holes closed. With the tip of the chest tube below water, the pleura is emptied from air during continuous ventilation of the lungs. An air leak after 5 minutes of ventilation indicates a negative sealing test, whereas a cessation of air leak within 5 minutes indicates a positive sealing test.
Chest drain is removed intraoperatively.
Chest drain is left in pleura.