No tubes, faster healing? new trial tests lighter anesthesia for lung surgery
NCT ID NCT07409129
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares a 'tubeless' approach to standard care for people having minimally invasive surgery to remove small lung nodules. The tubeless group gets a laryngeal mask instead of a breathing tube and no chest drain after surgery. The goal is to see if they recover better within 24 hours, with less pain and fewer complications. About 138 adults will take part.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- laryngeal mask airway, thoracic paravertebral block with local anesthetic (e.g., ropivacaine), non-intubated anesthesia
- What this could lead to
- If it works, this could show that avoiding breathing tubes and chest drains helps people recover faster and more comfortably after lung nodule surgery.
- What could go wrong
- This is a small, early-stage trial at one hospital, so results may not apply to everyone. There is a risk of breathing problems or air leaks without the usual tubes.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 138 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Feb 2026
An estimate. Start dates often move.
- Expected to finish
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Sep 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 75 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age between 18 and 75 years. * Scheduled for uniportal or multiportal video-assisted thoracoscopic surgery (VATS) for sublobar resection (wedge or segmentectomy). * Presence of peripheral lung nodules ≤ 2 cm in diameter and ≤ 2 cm from the pleura, confirmed by CT scan. * Ability to understand and provide written informed consent. * American Society of Anesthesiologists (ASA) physical status I-III. Exclusion Criteria: * Severe pleural adhesions or fibrosis that would preclude non-intubated anesthesia or tubeless approach. * Severe cardiopulmonary dysfunction: FEV1 \< 50% predicted, DLCO \< 60% predicted, heart failure (NYHA class III-IV), or unstable angina. * Pregnancy or lactation (confirmed by urine test if applicable). * Inability to tolerate one-lung ventilation due to anatomical or physiological reasons. * History of ipsilateral thoracic surgery. * Active pulmonary infection, uncontrolled diabetes, or other comorbidities that increase surgical risk. * Participation in another interventional trial within 30 days.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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The First Affiliated Hospital of GZMU
Guangzhou, China, 510120, China
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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