Preservation vs. Dissection of Inferior Pulmonary Ligament for Thoracoscopic Upper Lobectomy (NCT04120155) | Clinical Trial Compass
CompletedNot Applicable
Preservation vs. Dissection of Inferior Pulmonary Ligament for Thoracoscopic Upper Lobectomy
China270 participantsStarted 2020-03-01
Plain-language summary
Many thoracic surgeons tend to dissect the inferior pulmonary ligament (IPL) during upper lobectomy, which in theory reduces the free space in the upper thoracic cavity by increasing the mobility of the residual lung. However, the dissection of IPL may lead to bronchial deformation, stenosis, obstruction or lobe torsion, and distortion. Some studies have found that stenosis might be associated with chronic dry cough and shortness of breath, and could result in a significant decline in lung function. Moreover, the dissection of IPL may lead to greater surgical trauma and increase the incidence of complications. Therefore, this study tries to identify whether we should dissect or preserve the inferior pulmonary ligament during the thoracoscopic upper lobectomy.
Who can participate
Age range18 Years – 70 Years
SexALL
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Inclusion criteria
✓. 18 years old \< age \< 70 years old;
✓. Meet the indications for thoracoscopic left/right upper lobectomy;
✓. Gave informed consent and were willing to undergo thoracoscopic left/right upper lobectomy;
✓. Preoperative pulmonary function test: FEV1\>1L and FEV1\>60% of the predicted value;
✓. Preoperative ECOG score of 0-1;
✓. Preoperative ASA score I-II.
Exclusion criteria
✕. Inferior mediastinal lymphadenopathy was found in preoperative screening;
✕. Found that other lobe operations were required at the same time due to multiple lesions in the preoperative discussion;