Which is Better Between Single Chest Tube and Multiple Tubes Drainage in Primary Spontaneous Pneumothorax
NCT ID: NCT04831554
Last Updated: 2021-10-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
200 participants
INTERVENTIONAL
2021-10-31
2023-10-31
Brief Summary
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Detailed Description
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The presence of a residual pleural space after surgery may be a factor associated with increased risk of recurrence. One possible hypothesis to explain the association between residual pleural space and recurrence of pneumothorax may be the failed pleurodesis due to lack of pleura-pleura apposition. Multiple chest tubes are effective in clinical practice, but there was no convinctive evidence that the number of chest tube do effect to the recurrence of pneumothorax, which placed after thoracoscopic wedge resection together with mechanical pleurodesis. This study evaluates the efficacy of single chest tube versus multiple tubes drainage in spontaneous pneumothorax after VATS bullectomy and pleurodesis.After routine procedure the participants will randomized to either placed multiple chest tubes or single chest tube.
The recurrence of the two group and other postoperative clinical parameters will be observed.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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single chest tube group
single chest tube drainage
place single chest tube after surgery of PSP
multiple chest tubes group
No interventions assigned to this group
Interventions
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single chest tube drainage
place single chest tube after surgery of PSP
Eligibility Criteria
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Inclusion Criteria
* Underwent bullectomy and pleurodesis
* Postoperative indwelling chest tubes
Exclusion Criteria
* Previous surgery history
* People with severe comorbidities
16 Years
40 Years
ALL
No
Sponsors
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Peking University Third Hospital
OTHER
Responsible Party
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References
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Jiang L, Jiang G, Zhu Y, Hao W, Zhang L. Risk factors predisposing to prolonged air leak after video-assisted thoracoscopic surgery for spontaneous pneumothorax. Ann Thorac Surg. 2014 Mar;97(3):1008-13. doi: 10.1016/j.athoracsur.2013.10.031. Epub 2013 Dec 25.
Sudduth CL, Shinnick JK, Geng Z, McCracken CE, Clifton MS, Raval MV. Optimal surgical technique in spontaneous pneumothorax: a systematic review and meta-analysis. J Surg Res. 2017 Apr;210:32-46. doi: 10.1016/j.jss.2016.10.024. Epub 2016 Nov 3.
Other Identifiers
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mashaohua1976-4
Identifier Type: -
Identifier Source: org_study_id