Comparison of Drainage Methods in Minimally Invasive Esophagectomy (DEMURE)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Chest mediastinal tube, Abdominal mediastinal tube, Chest tube + chest mediastinal tube.
- Who it may be relevant to
- Registry conditions: Esophageal Cancer, Drainage/Methods, Postoperative Pain. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- China
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Comparison of the Application Effects of Different Drainage Modes in the Perioperative Period of Minimally Invasive Three-Field Radical Esophagectomy for Esophageal Cancer
Overview
This RCT compares three drainage approaches after minimally invasive esophagectomy (chest tube + thoracic mediastinal drainage tube, thoracic, and abdominal mediastinal drainage tube) to evaluate perioperative outcomes, addressing current evidence gaps in pain and complication profiles.
Interventions
- Procedure Chest mediastinal tube
Transthoracic mediastinal drainage was performed for postoperative management of the patient. - Procedure Abdominal mediastinal tube
Transperitoneal mediastinal drainage was performed for postoperative management of the patient. - Procedure Chest tube + chest mediastinal tube
Chest tube insertion combined with transthoracic mediastinal drainage was performed for postoperative management of the patient.
Primary outcome measures
- Postoperative Pain Scores [Time frame: Pain scores were recorded at different times during the postoperative period when the patients were quiet and active (at 7 AM, 11 AM, 3 PM, and 7 PM) from postoperative day 1 to postoperative day 4.]
Secondary outcome measures (1)
- Postoperative complications [Time frame: Postoperative complications from posoperative day 1 to postoperative month 3]
Eligibility criteria
Inclusion criteria
- Age ≥18 years
- Pathologically confirmed esophageal cancer requiring three-incision esophagectomy (cervical, thoracic, and abdominal incisions)
- ASA physical status class I-III
Exclusion criteria
- History of chronic pain or long-term use of analgesics prior to surgery
- Severe cardiopulmonary dysfunction (e.g., FEV1 <50%)
- Coagulation disorders or patients undergoing reoperation
- Intraoperative findings of extensive pleural adhesions, combined resection of adjacent organs, or other conditions deemed by the investigator to warrant exclusion
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Prevention
Study locations
China · 1 center
- Ruijin Hospital Affiliated to Shanghai Jiao Tong University School of Medicine — Shanghai
Identifiers
NCT: NCT07004634 · RTS-026