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Tubeless Strategy for Enhanced Recovery After Sublobar Resection
Sponsor: The First Affiliated Hospital of Guangzhou Medical University
Summary
This is a prospective, randomized controlled clinical trial conducted at a single center. The study aims to evaluate whether a "tubeless" strategy can enhance recovery for patients undergoing minimally invasive thoracoscopic sublobar resection (wedge or segment resection) for small lung nodules. Participants will be randomly assigned to one of two groups: * The experimental group will receive the "tubeless" strategy, which includes non-endotracheal intubation anesthesia (using a laryngeal mask) and no routine chest tube drainage after surgery. * The control group will receive the traditional strategy, which includes double-lumen endotracheal intubation anesthesia and routine chest tube drainage. The main goal is to compare the rate of achieving high-quality fast-track recovery at 24 hours after surgery between the two groups. This study will provide evidence on whether the tubeless approach can help patients recover faster and more comfortably without compromising safety.
Official title: Tubeless Strategy Within an Enhanced Recovery After Surgery (ERAS) Protocol for Thoracoscopic Sublobar Resection: A Randomized Controlled Trial
Key Details
Gender
All
Age Range
18 Years - 75 Years
Study Type
INTERVENTIONAL
Enrollment
138
Start Date
2026-02-01
Completion Date
2026-09-01
Last Updated
2026-02-13
Healthy Volunteers
No
Conditions
Interventions
Laryngeal Mask Airway
Airway management using a laryngeal mask airway with spontaneous ventilation during thoracoscopic surgery.
Thoracic Paravertebral Block with Local Anesthetic
Thoracic paravertebral block using local anesthetic (e.g., ropivacaine) for intraoperative and postoperative analgesia.
Non-intubated Anesthesia
General anesthesia with spontaneous ventilation without endotracheal intubation.
Double-lumen Endotracheal Tube
Double-lumen endotracheal intubation for one-lung ventilation under general anesthesia.
Chest Tube Drainage
Routine placement of a chest tube (18-22 Fr) with water-seal drainage postoperatively.
Locations (1)
The First Affiliated Hospital of GZMU
Guangzhou, China, China