Assessment of Influence of Routine Postoperative Systematic Bronchial Aspiration With Flexible Bronchoscope on Occurrence of Pulmonary Complications After Anatomical Lung Resections: a Prospective Randomized Controlled Study.

What this Trial Is About

Researchers are studying the effects of routine postoperative bronchoscopy on lung complications after anatomical lung resections. Respiratory complications like atelectasis and pneumonia often occur due to retained bronchial secretions that are not fully cleared by usual suctioning through an intubation tube. This trial evaluates whether using a thin flexible bronchoscope for systematic aspiration of secretions immediately after surgery can better clear the bronchial tree and reduce such complications. Participants will be randomly assigned to one of two groups: one receiving systematic bronchial aspiration using a flexible bronchoscope after surgery, and a control group receiving standard care without bronchoscopy. Surgery involves pulmonary lobectomy under general anesthesia with standard lung ventilation techniques. For the bronchoscopy group, the procedure will be done systematically to remove secretions from all main, lobar, and segmental bronchi. All patients will receive standard postoperative pain management and monitoring. During the study, participants will be closely monitored with physical exams, chest X-rays on the day of surgery and postoperative days 1 and 2, and blood tests including C-reactive protein levels. The study team will assess lung complications like atelectasis, pneumonia, and related scores within three days after surgery. Other outcomes include atrial fibrillation occurrence, surgery duration, ICU admission, and hospital stay. Safety and complications such as bleeding or infection will also be recorded. The total study duration for participants includes the immediate postoperative period up to three days after surgery.

Influence of Postoperative Bronchoscopy on Pulmonary Complications After Anatomical Lung Resections.