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Video-guided versus standard breathing tube placement during keyhole chest surgery

Compares two ways of placing a breathing tube in adults having thoracoscopic surgery.

Plain-language title generated from the registry record
Registry title: Video-guided Versus Conventional Right-sided Double-lumen Tube Placement for Thoracoscopic Surgery

Key facts

Where
Hangzhou and Jiaxing, ChinaSee the 3 sites

AI summary: who the study is looking for

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults having planned thoracoscopic (keyhole chest) surgery who need a right-sided double-lumen breathing tube to isolate one lung.

Age
18 years or older
Sex
All sexes can join
Disease stage
Planned (elective) thoracoscopic surgery that needs lung isolation with a right-sided double-lumen tube; ASA physical status I-III
Earlier treatment
No chest surgery within 4 weeks before joining

Main reasons for not taking part

  • Right main bronchial lesion or other reason a right-sided double-lumen tube cannot be used
  • Known airway or tracheobronchial anatomy abnormality, or known or expected difficult airway
  • Emergency surgery or need for rapid sequence induction
  • Recent respiratory infection, or known or suspected pulmonary tuberculosis
  • Severe respiratory instability

Read by machine on 13 November 2026.

Where in China

  • The First Affiliated Hospital Zhejiang University School of MedicineHangzhou, ChinaContact: Research CoordinatorNo longer taking part
  • Affiliated Hospital of Jiaxing University(The First Hospital of Jiaxing)Jiaxing, ChinaContact: Yang Research CoordinatorNo longer taking part
  • The Second Hospital of JiaxingJiaxing, ChinaContact: Chang Research CoordinatorNo longer taking part

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Trial details

Who runs it
Diansan Su
Trial code
NCT07849400
Record updated
30 September 2026
Original description
Right-sided double-lumen tubes are used for lung isolation during thoracoscopic surgery but can be difficult to position because of right bronchial anatomy. This multicenter randomized controlled trial will compare a continuous video-guided right-sided double-lumen tube with a conventional right-sided double-lumen tube in adult patients undergoing thoracoscopic surgery requiring right-sided lung isolation. The primary objective is to determine whether continuous video guidance increases the rate of successful initial right-sided double-lumen tube positioning. Secondary outcomes include positioning time, clinically relevant intraoperative tube displacement, rescue fiberoptic bronchoscopy, lung collapse quality, hypoxemia during one-lung ventilation, and airway-related complications.Read full original descriptionShow less

Continuous Video-guided Versus Conventional Right-sided Double-lumen Tube Placement for Lung Isolation in Thoracoscopic Surgery: A Multicenter Randomized Controlled Trial

Right-sided double-lumen tubes are used for lung isolation during thoracoscopic surgery but can be difficult to position because of right bronchial anatomy. This multicenter randomized controlled trial will compare a continuous video-guided right-sided double-lumen tube with a conventional right-sided double-lumen tube in adult patients undergoing thoracoscopic surgery requiring right-sided lung isolation. The primary objective is to determine whether continuous video guidance increases the rate of successful initial right-sided double-lumen tube positioning. Secondary outcomes include positioning time, clinically relevant intraoperative tube displacement, rescue fiberoptic bronchoscopy, lung collapse quality, hypoxemia during one-lung ventilation, and airway-related complications.

Inclusion: Adults aged 18 years or older; American Society of Anesthesiologists (ASA) physical status I-III; Patients scheduled for elective thoracoscopic surgery requiring lung isolation with a right-sided double-lumen tube; Patients who provide written informed consent.

Exclusion: Emergency surgery; Thoracic surgery within 4 weeks before enrollment, recent respiratory infection, or known or suspected pulmonary tuberculosis; Concurrent participation in another interventional clinical trial that may affect the study outcomes; Contraindications to placement of a right-sided double-lumen tube, including right main bronchial lesions that preclude its use; Known tracheobronchial anatomical abnormalities; Known or anticipated difficult airway; Requirement for rapid sequence induction; Severe respiratory instability.

ClinicalTrials.gov NCT07849400