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NOT YET RECRUITING
NCT07409129
NA

Tubeless Strategy for Enhanced Recovery After Sublobar Resection

Sponsor: The First Affiliated Hospital of Guangzhou Medical University

View on ClinicalTrials.gov

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

Interventions

DEVICE

Laryngeal Mask Airway

Airway management using a laryngeal mask airway with spontaneous ventilation during thoracoscopic surgery.

DRUG

Thoracic Paravertebral Block with Local Anesthetic

Thoracic paravertebral block using local anesthetic (e.g., ropivacaine) for intraoperative and postoperative analgesia.

PROCEDURE

Non-intubated Anesthesia

General anesthesia with spontaneous ventilation without endotracheal intubation.

DEVICE

Double-lumen Endotracheal Tube

Double-lumen endotracheal intubation for one-lung ventilation under general anesthesia.

DEVICE

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