Safety and Efficacy of Awake Uniportal Video Assisted Thoracoscopic Modified Pericardial Window in Recurrent Pericardial Effusion at Mid Term Result

Zagazig University

Status: Active, not recruiting

Conditions: Pericardial Effusion; Pericadiopleural Window; Awake Thoracoscope

Treatments: Procedure: modified pericardial window; Procedure: traditional pericardial window

Study type: Interventional

Funder types: Other

Identifiers

NCT06972836

ZU-IRB # 739-15-10-2024

Details and patient eligibility

About

this study compare two surgical techniues at the same time two methods of anathesia with assisstance of thoracoscope for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months

Full description

this study compare two thoracoscopic techniues awake modified pericardial window and pericardial window under general anasethia for cases of repeated collection of fluid in pericardial sac and observation the result of the two techniques on the operated patients from 3 to 6 months

Enrollment: 36 patients

Sex: All

Ages: 25 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients who presented with recurrent massive pericardial effusion based on clinical, radiological evidence by Echo and C.T. chest

Exclusion criteria

• hemodynamically unstable patients

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Awake modified pericardial window

Experimental group

Description:

H) shaped lines done by diathemy hoke above phrenic nerve then the upper and lower pericardial flabs reflelected outward in upper and lower directions respectively then 3 large clips applied on each angle of the reflected pericardial anlgles then heavy non absorbable suture is taken from the centre of the free reflected edge to adjacent upper and lower pericardium

Treatment:

Procedure: modified pericardial window

General traditional pericardial window

Active Comparator group

Description:

A portion of pericardium (2 cm diameter) was resected anterior to the phrenic nerve by diathermy hook

Treatment:

Procedure: traditional pericardial window