Effect of Muscle and Skin Fixation of Thoracic Drainage Tube on Postoperative Pain

Army Medical University of People's Liberation Army

Status

Unknown

Conditions

Postoperative Pain

Lung Neoplasms

Lung Cancer

Thoracoscopic Surgery

Pulmonary Neoplasm

Treatments

Procedure: muscle layer fixation of thoracic drainage tube

Study type

Interventional

Funder types

Other

Identifiers

NCT05202249

Kli4

Details and patient eligibility

About

Lung cancer is the leading cause of cancer-related death worldwide. Thoracoscopic pulmonary resection is a prevalent management for early stage of lung cancer. Placement of chest tube is the standard procedure after surgery, which causes pain that cannot be ignored. The investigators aimed to determine whether a muscle layer fixation of thoracic drainage tube could release postoperative pain in patients with uniport thoracoscopic pulmonary resection compared with conventional skin fixation.

Enrollment

60 estimated patients

Sex

All

Ages

18 to 80 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

18<age<80;
ASA≤III
Patients with no clinically significant cardiac history, such as ischaemic heart disease, valvular heart disease, rhythm disturbances such as frequent atrial fibrillation or premature ventricular contractions (PVCs). Patients with significant cardiac history should be optimized according the relevant guidelines before surgery is considered.
Normal cardiopulmonary function [predicted forced expiratory volume in the first second(FEV1%) >50% and ejection fraction (EF) >50%of predicted value]. Resting blood gas analysis showing arterial partial pressure of oxygen (PaO2)≥75 mmHg and arterial partial pressure of carbon dioxide (PaCO2) <45 mmHg;

Exclusion criteria

History of ipsilateral surgery and other conditions which can result in extensive pleural adhesion;
Coagulopathy, hypoxemia (PaO2 <60 mmHg), hypercapnia [arterial carbon dioxide tension(PaCO2) >50 mmHg];
Significant cardiac history.