Tubeless VATS for Mediastinal Neoplasm
A Randomized Controlled Trial of Non-intubated Versus Intubated VATS for Mediastinal Neoplasm
Shuben Li
132 participants
Mar 26, 2025
INTERVENTIONAL
Conditions
Summary
In recent year, non-intubated anesthesia had emerged as an available and promising alternative for thoracic procedure. However, its safety and feasibility in video-assisted thoracoscopic surgery (VATS) for mediastinal neoplasm remain controversial. This randomized controlled trial is designed to evaluate the impact of the non-intubated approach on surgical and perioperative outcomes in patients undergoing mediastinal neoplasm resection.
Eligibility
Inclusion Criteria5
- Mediastinal neoplasm was diagnosed by chest enhanced CT
- The patients with age ≥ 18 and ≤ 80 years old
- The patients whose tumor diameter was \<6 cm
- ASA grade: I-III
- The patients should understand the research and sign the informed consent
Exclusion Criteria3
- Imaging examinations revealed that the tumor had invaded adjacent organs, with evidence of pleural or pericardial dissemination, as well as lymphatic and/or hematogenous metastases
- Patients with a confirmed history of congestive heart failure, poorly controlled angina despite medical therapy, electrocardiogram-confirmed myocardial infarction with transmural involvement, uncontrolled hypertension, clinically significant valvular heart disease, or high-risk arrhythmias not adequately managed
- Patients with concurrent active malignancies
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Interventions
Non-intubated VATS for mediastinal neoplasm
Intubated VATS for mediastinal neoplasm
Locations(1)
View Full Details on ClinicalTrials.gov
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NCT07065604