RecruitingNot ApplicableNCT07159659

Post-operative Medium Chain Triglyceride Diet May Reduce Hospital Stay Following Lung Resection


Sponsor

Chinese University of Hong Kong

Enrollment

210 participants

Start Date

Mar 19, 2026

Study Type

INTERVENTIONAL

Conditions

Summary

Lung resection, a critical treatment for various thoracic diseases, including lung cancer, often necessitates prolonged hospitalization due to rare but severe postoperative complications such as chyle leaks, with an occurrence of 0.25%-3%, prolonging chest drainage, and delaying recovery. Therefore, effective postoperative care is essential for optimizing outcomes, reducing complications, and expediting recovery. Recent studies have highlighted the significant potential of medium-chain triglyceride (MCT) diets, owing to their unique absorption pathway and metabolic properties. MCT contains mainly medium-chain fatty acids (MCFA), which is absorbed in the intestine and transported to the liver via the portal system instead of the lymphatic system. This helps to bypass the lymphatic system, thereby reducing the volume of lymph. MCFAs also provide better energy utilization in stressed condition since it does not require carnitine shuttle upon metabolism, which is beneficial to post-operation recovery. Several studies have demonstrated the benefits of MCT diets in managing chyle leaks and supporting gastrointestinal recovery, particularly in conditions that strain the lymphatic system. For instance, short-term MCT-enriched diets have been associated with improved post-operation recovery of gastrointestinal, hepatic and renal functions, reduced total chest drainage volumes, and shorter hospital stay when compared to regular diet groups. Patients with post-operative chyle leak following thoracic surgery are often given an MCT diet to reduce chest drain volume and hence shorten hospital stay. Based on the successful use of MCT diet on patients with chyle leak after lobectomy, it is hypothesized that patients with chylothorax provided with post-operative MCT diet can also shorten hospital stay by decreasing chest drainage. Therefore, a prospective and randomized trial is designed to investigate how post-operative MCT diet in lung resection patients without chylothorax may affect hospital stay and post-operative recovery.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria6

  • Age between 18 - 80 years
  • Body mass index \<35 kg/m2
  • Suitable for minimally invasive surgery
  • Willingness to participate as demonstrated by giving informed consent
  • Project-specific Criteria:
  • \. Patients performed lobectomy with lymph node dissection

Exclusion Criteria17

  • Contraindication to general anesthesia
  • Severe concomitant illness that drastically shortens life expectancy or increases the risk of therapeutic intervention
  • Untreated active infection
  • Non-correctable coagulopathy
  • Emergency surgery
  • Vulnerable population (e.g. mentally disabled, pregnancy)
  • Project-specific Criteria
  • Segmentectomy
  • Pleurodesis
  • Esophageal procedures
  • Redo/readmitted patients for lung resection
  • Chylothorax (Triglyceride \> 110 mL, excluded at day 1 routine lab check)
  • Air leak (\> 30 mL/min when back to ward)
  • Heart Failure
  • Renal failure (estimated GFR \< 30; CKD grading stage 4-5)
  • Moderate to severe adhesion (defined at randomization by surgeon; criteria include estimated surface area of adhesion and staging)
  • History of tuberculosis or empyema

Interested in this trial?

Get notified about updates and connect with the research team.

Interventions

DIETARY_SUPPLEMENTMCT Diet

MCT diet for patients following lung resection


Locations(1)

Prince of Wales Hospital

Shatin, Hong Kong

View Full Details on ClinicalTrials.gov

For the most up-to-date information, visit the official listing.

Visit

NCT07159659


Related Trials