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The purpose of this study was to determine whether disconnecting pulmonary vagus nerve branch can abatement chronic cough in patients undergoing unilateral thoracoscopic lobectomy,compared with preserving pulmonary vagus nerve branch.
After screening for the Inclusion criteria and the exclusion criteria, 116 patients undergoing unilateral thoracoscopic lobectomy are randomly assigned to two groups, disconnecting pulmonary vague nerve branches and preserving pulmonary vague nerve branches. The incidence of chronic cough after surgery is compared between groups.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group D | Experimental | disconnect pulmonary vague nerve branches |
|
| Group P | No Intervention | preserve the pulmonary vague nerve branches |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| disconnect pulmonary vague nerve branches | Procedure | When the operation is in the right side, the Azygous vein bow is used as the marker, and in the left side, the aortic arch is used as the marker to identify the vagus nerve trunk.Then the surgeons dissect the vagus nerve trunk. This is used as a clue to find the vagus nerve pulmonary branch leading to the hilum. The position of the detachment is after the anterior and posterior pulmonary branches of the vagus nerve separating from the trunk and before the formation of the lung plexus. |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of chronic cough after surgery | More than 8 weeks after surgery, there is no clear cause of cough with stable chest CT excluding the diagnosis of postnasal drip syndrome, asthma or the use of Angiotensin-converting enzyme inhibitor(ACEI), etc. | 3 months after surgery |
| Measure | Description | Time Frame |
|---|---|---|
| The incidence of chronic cough after surgery | More than 8 weeks after surgery, there is no clear cause of cough with stable chest CT excluding the diagnosis of postnasal drip syndrome, asthma or the use of Angiotensin-converting enzyme inhibitor(ACEI), etc. | 1 month after surgery |
| The score of the LCQ-MC scale after surgery |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology of the Affiliated Hospital of Xuzhou Medical University | Xuzhou | Jiangsu | 225000 | China |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38116674 | Derived | Zhang Q, Ge Y, Sun T, Feng S, Zhang C, Hong T, Liu X, Han Y, Cao JL, Zhang H. Pulmonary vagus nerve transection for chronic cough after video-assisted lobectomy: a randomized controlled trial. Int J Surg. 2024 Mar 1;110(3):1556-1563. doi: 10.1097/JS9.0000000000001017. |
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The LCQ-MC was designed for the assessment of a chronic cough, consists of 19 items and three domains. |
| 1 month and 3 months after surgery |
| Length of operation | during the operation |
| volume of bleeding | during the operation |
| volume of postoperative drainage | within 30 days after surgery |
| the frequence of perioperative arrhythmia | during the operation |
| the incidence of Postoperative complication | pulmonary complications, intestinal obstruction, pulmonary embolism, acute respiratory failure, acute renal failure, wound infection, cerebrovascular accident | within 30 days after surgery |
| the score of Cough symptom | The score was used to record daily symptom score for cough severity.The scale is scored by 4 levels at day and night respectively.The higher score means worse symptom. | postoperative 1 day,2 days,3 days,4 days,5 days,6 days |
| the time of extubation | within 30 days after surgery |
| the incidence of gastrointestinal symptoms | gastrointestinal symptoms include anorexia, belching, reflux, diarrhea, nausea | within 3 months after surgery |
| the incidence of postoperative hospitalization | within 30 days after surgery |
| pulmonary function 30 months after surgery | maximal voluntary ventilation, diffusing capacity of the lungs for carbon monoxideand forced expiratory volume | 30 months after surgery |