Acute and Chronic Pain After Video-assisted Thoracoscopic Surgery for Lung Cancer

Fudan University

Status: Completed

Conditions: Lung Cancer

Treatments: Other: Hookwire localization

Study type: Observational

Funder types: Other

Identifiers

NCT05478460

pain assessment after VATS

Details and patient eligibility

About

The aim of this study is to evaluate whether preoperative CT- guided hookwire localization would influence the incidence and intensity of acute and chronic pain after VATS.

Full description

Postoperative pain after thoracic surgery has gained recognition as a adverse outcome and head-scratching problem. The incidence of choric postoperative pain (CPSP) in thoracic surgery has been reported to be 20%-80%. However, there has been not an standard treatment for CPSP. Many study has showed the risk factors of CPSP in thoracic surgery, such as VATS type, operation time, duration of drainage, preoperative pain, repeat surgery, gender, postoperative chemotherapy or radiation therapy , etc. It is important that moderate-to-severe acute postoperative pain will be transformed into CPSP. That offers a new management goal in postoperative pain prevention.CT-guided hookwire localization have been proven to be benefical for VATS to diagnose and treat small pulmonary , it can shorten operation timing and increase surgery success rate. However, it causes roughly 23.8% severe pain and complaints included wire dislodgement, pneumothorax and haemorrhage during and after insertion. The question is whether or not the moderate-to-severe acute postoperative pain from hookwire localition will change the incidence and intensity of CPSP in VATS.

Nurses play a pivotal role in advanced practice, research, and education in the field of pain management. The pain management of hookwire localization may be a new vison in further research.

Enrollment: 161 patients

Sex: All

Ages: 18 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Aged 18-75
• patients who underwent underwent CT-guided localization before VATS
• ASA I-II
• BMI 18.5-30
• no serious complications after localization
• sign informed consent

Exclusion criteria

• could not complish underwent CT-guided localization
• selfexpression or visual dysfunction
• having emergency surgery
• a severe psychiatric illness
• having chronic pain problems in the chest area
• Pregnant women

Trial design

161 participants in 2 patient groups

Group A

Description:

Before operation,patients were performed CT -guided hook wire localization(20G×120mm, PAJUNK medizintechnologie, Geisingen in Germany). patients were placed on a CT table in a suitable position(supine, prone, lateral) to obtain the shortest needle insertion route for their initial CT scan. Local anesthesia of the skin and planned puncture tract was performed using 10ml Lidocaine 1%. Next, the needle was inserted into or near the pulmonary nodule.

Treatment:

Other: Hookwire localization

Group B

Description:

without hookwire localization