About this trial
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 criteria
Qualifiers
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
Disqualifiers
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
Trial design
Treatments tested in this trial
- Non-intubated VATS for mediastinal neoplasm
- Intubated VATS for mediastinal neoplasm
Treatment groups
Sponsors and collaborators
Shuben Li
Lead sponsor
The First Affiliated Hospital of Guangzhou Medical University
Sponsor institution
The First Affiliated Hospital of Guangzhou Medical University
Collaborator