RecruitingNot ApplicableNCT07065604

Tubeless VATS for Mediastinal Neoplasm

A Randomized Controlled Trial of Non-intubated Versus Intubated VATS for Mediastinal Neoplasm


Sponsor

Shuben Li

Enrollment

132 participants

Start Date

Mar 26, 2025

Study Type

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

Min Age: 18 YearsMax Age: 80 Years

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

PROCEDURENon-intubated VATS for mediastinal neoplasm

Non-intubated VATS for mediastinal neoplasm

PROCEDUREIntubated VATS for mediastinal neoplasm

Intubated VATS for mediastinal neoplasm


Locations(1)

the First Affiliated Hospital of Guangzhou Medical University

Guangzhou, Guangdong, China

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NCT07065604


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