Status:

RECRUITING

Comparison of 40% Glucose Solution and Autologous Blood Patch Pleurodesis for Postoperative Air Leak After Lung Resections

Lead Sponsor:

Wielkopolskie Centrum Pulmonologii i Torakochirurgii

Collaborating Sponsors:

Poznan University of Medical Sciences

Conditions:

Prolonged Air Leak

Persistent Air Leak

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Prolonged or persistent air leak (PAL) is one of the most common complications in patients after surgery on the lung parenchyma. Air leaks typically originate from alveolar-pleural fistulas, which can...

Detailed Description

Prolonged or persistent air leak (PAL) is one of the most common complications in patients after surgery on the lung parenchyma. Air leaks typically originate from alveolar-pleural fistulas, which can...

Eligibility Criteria

Inclusion

  • Age: patients aged 18 years or older.
  • Surgical Procedure: patients who underwent anatomical lung resections (segmentectomy, lobectomy, or bilobectomy) at the Department of Thoracic Surgery, Poznan University of Medical Sciences, between November 2023 and December 2024.
  • Prolonged Air Leak Diagnosis: patients with diagnosed PAL after lung resection, as defined by air leakage persisting beyond 5 days post-surgery.
  • Consent: patients who were willing to provide informed consent for participation in the study and for the intervention procedures (autologous blood pleurodesis or 40% glucose solution pleurodesis).

Exclusion

  • Non-Anatomical Resections: Patients who underwent non-anatomical resections, such as pneumonectomy, lung transplantation, sleeve resections, or wedge resections.
  • Patients from whom the required volume of peripheral blood (120 ml) could not be collected.
  • Active Infection or Sepsis: Patients with ongoing infections or sepsis at the time of enrollment.
  • Reoperation or Additional Interventions: patients who required immediate reoperation or other interventions that disturb the process of treating PAL.
  • Mental Health or Cognitive Impairment: patients with significant cognitive impairments or mental health conditions that hinder the ability to provide informed consent or comply with study procedures.
  • Patients who failed to perform three ABPP or 40% glucose injections (no consent, need for urgent surgery).

Key Trial Info

Start Date :

December 22 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2027

Estimated Enrollment :

200 Patients enrolled

Trial Details

Trial ID

NCT06936969

Start Date

December 22 2023

End Date

May 1 2027

Last Update

April 20 2025

Active Locations (1)

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Wielkopolskie Centrum Pulmonologii i Torakochirurgii

Poznan, Wielkopolska, Poland, 60-569