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Pulmonary Ligament Division vs Preservation in Upper Lobectomy

Key facts

Who runs it
Ain Shams University
Where
Egypt1 site in 1 countryChoose a country to see its sites
Trial code
Status
Completed
People taking part
40 people enrolled
Started
1 Feb 2024
Ended
1 Jun 2026
Type of study
Interventional, 2 groupsOne group gets an existing treatment, for comparison.
Treatments tested
  • Upper lobectomy with pulmonary ligament division
  • Pulmonary ligament preservation post lobectomy
Record updated
13 November 2026

Who can take part

Age
18 years to 70 years
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 9 criteriaShow less

Who can take part

  • Age group 18-70 years old
  • Any mass in the upper lobe presented for upper lobectomy
  • Patients presented for bilobectomy for whatever cause
  • Preoperative ECOG score of 0-1, preoperative ASA scores 1-2

Who cannot take part

  • Severe thoracic adhesions found during surgery
  • Patients with age extremities <17 and >70 years old
  • Inadequate CT images (as patients with extensive breathing motion artifacts that hinder proper measurements of the bronchial angles and lung volumetry)
  • Found that a larger-scale operation is required due to multiple lesions
  • Lost to follow-up

This trial has no sites in United States.

It has sites in one country. Choose a country to see its sites.

About the trial

What the trial wants to find out

This study looks at two different surgical techniques used during lung surgery (upper lobectomy). Surgeons may either divide or preserve a thin tissue band called the pulmonary ligament. The investigators want to understand how this choice affects recovery, including changes in lung size, airway shape, and symptoms such as cough. Forty patients took part, with half receiving ligament division and the other half with ligament preservation post upper lobectomy. Lung volume and airway changes were measured using CT scans, and cough scores were recorded after surgery. The study also noted one patient in the division group who developed a space problem (pneumothorax) two weeks after surgery. The goal is to learn which approach may help patients recover more comfortably and reduce postoperative symptoms.

The 2 groups in the trial

  • pulmonary ligament dissection armExisting treatment, for comparison

    inferior pulmonary ligament dissection post lobectomy

    Treatment: Upper lobectomy with pulmonary ligament division

  • pulmonary ligament preservation armExisting treatment, for comparison

    the inferior pulmonary ligament will be preserved after upper lobectomy

    Treatment: Pulmonary ligament preservation post lobectomy

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
The Impact of Pulmonary Ligament Dissection During Lung Resection on Airway Geometry Changes: a Randomized Controlled Trial
Record updated
13 November 2026