Study to Assess How Well Intraoperative Ventilation Predicts Air Leaks After Major Lung Surgery Using Thoracoscopy

What this Trial Is About

Air leaks from the lung after major pulmonary surgeries such as lobectomy or anatomical segmentectomy are caused by small openings in the lung lining due to surgical damage. These air leaks are common and can lead to prolonged hospital stays and increased healthcare costs. Although the leaks themselves are painless, the treatments required, like chest drains, often cause significant discomfort and can complicate recovery. Advances in minimally invasive lung surgery have made traditional air leak detection methods less effective, creating the need for new ways to identify leaks during surgery. This study evaluates the use of intraoperative ventilation measurements to detect and predict air leaks during lung surgery performed by conventional or robotic thoracoscopy. Each patient will receive standard care with routine intraoperative ventilation and postoperative chest drainage to manage air leaks. Researchers aim to find a correlation between the volume of air leakage measured during surgery and after surgery, potentially identifying patients who might avoid chest drains and thus reduce postoperative pain and hospital time. Participants will be monitored from the time of surgery until four weeks after, with researchers assessing the air leak volumes during and after the procedure. This includes routine follow-up care involving chest drains and observation of any complications. The primary outcome is the correlation between intraoperative and postoperative air leak volumes, which will help guide future care to improve recovery and reduce discomfort following lung surgery.

Prospective Study Evaluating the Effectiveness of Intraoperative Ventilation for Predicting Postoperative Air Leaks During Major Lung Resections by Conventional or Robotic Thoracoscopy