Pigtail or Chest Tube Placement After Uniportal Video-assisted Thoracoscopic Surgery

Launched by NATIONAL CHENG-KUNG UNIVERSITY HOSPITAL · Sep 21, 2023

Keywords

ClinConnect Summary

This clinical trial is investigating the best way to manage drainage after a specific type of lung surgery called uniportal video-assisted thoracoscopic surgery (VATS). The study compares two methods: a small, flexible pigtail catheter and a larger chest tube. Researchers want to see which option helps reduce pain, improves recovery, and lowers the need for pain medications after surgery.

To participate, you need to be an adult patient scheduled for elective uniportal VATS lobectomy, which is a procedure to remove part of the lung. However, if you have certain health issues, are significantly overweight, or have a history of chronic pain requiring regular opioid use, you may not be eligible. If you join the trial, you’ll be monitored closely to see how well the drainage method works for you, and you'll receive support throughout your recovery. This study is currently looking for participants, and your involvement could help improve care for future patients undergoing similar surgeries.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • - eighty consecutive adult patients undergoing elective uniportal VATS lobectomy
• Exclusion Criteria:
• • - patient refusal, body mass index \> 27 kg/m2, American society of anesthesiologists (ASA) grade above 3, contraindication to nerve block, allergy to analgesic agents, regular opioid used for chronic pain prior to this time surgery, anticipating postoperative patient control analgesia (PCA) before operation, surgeon's decision for exclusion during operation, conversion to thoracotomy or multiportal VATS procedure, postoperative intubation, postoperative intensive care unit admission.