Effect of Bronchial Artery Protection on Cough After Thoracoscopic Lobectomy
Condition: Cough
MeSH terms: Cough
Study type: Interventional

Summary: 
      The postoperative complications of thoracoscopic radical surgery for lung cancer mainly
      include postoperative bleeding, pulmonary infection, chylothorax, nerve injury, pulmonary
      embolism, arrhythmia, postoperative cough, bronchopleural fistula and so on. Among them,
      postoperative cough is one of the most common complications after lung surgery, and the
      incidence of postoperative cough is 25% - 50%. Cough after pneumonectomy can last for a long
      time, which affects the rapid recovery of patients after surgery, and brings serious adverse
      effects to the physiological, psychological and social functions of patients.
    

Detailed description: 
      After pneumonectomy cough on patients' daily life will bring different degrees of adverse
      effects, so through certain methods to intervene, in order to reduce the incidence of
      postoperative cough, accelerate the rapid recovery of patients after surgery, improve the
      quality of life of patients, which should also be worthy of attention of surgeons. In recent
      years, the research on intervention measures and treatment methods to reduce cough after
      thoracoscopic lobectomy is mainly focused on drug treatment, traditional Chinese medicine
      treatment, surgical operation and anesthesia intervention. However, the research on reducing
      postoperative cough by improving surgical operation is rare. The purpose of this prospective
      study was to investigate whether preoperative three-dimensional reconstruction and
      intraoperative protection of bronchial artery can reduce the severity of cough after
      thoracoscopic lobectomy, so as to further explore the effective intervention measures of
      postoperative cough and enrich the concept of accelerated rehabilitation surgery.
    

Intervention name(s): Preoperative three-dimensional reconstruction and intraoperative protection of bronchial artery
Intervention type(s): Other
Intervention description(s): All patients underwent chest enhanced CT examination with 64 slice spiral CT before operation. The bronchial artery was reconstructed by Mimics software. The bronchial artery was protected according to the preoperative three-dimensional reconstruction image during the lymph node dissection
Intervention model: Single Group Assignment
Intervention model description: Sixty patients with thoracoscopic lobectomy and systemic lymph node dissection were selected from the same surgical group in the thoracic surgery department of the First Affiliated Hospital of Suzhou University from August 1, 2020 to October 31, 2020. According to the random number grouping method, they were divided into two groups: the bronchial artery protection group (the experimental group) and the conventional surgical treatment group (the control group). In the experimental group, 64 slice spiral CT was used for chest enhanced CT examination before operation, and mimics software was used for 3D reconstruction of bronchial artery. During the operation, the bronchial artery was protected according to the preoperative three-dimensional reconstruction image during lymph node dissection. In the control group, three-dimensional reconstruction of bronchial artery was not performed before operation, and lobectomy and systematic lymph node dissection were performed routinely
Masking: None (Open Label)
Primary purpose: Prevention
Keywords: Bronchial artery; Postoperative cough; three-dimensional reconstruction; Thoracoscopic surgery