About this trial
In this study, the reasons for prolonged hospital stay after thoracoscopic (video- or robot-assisted) anatomical lung resections are investigated. Currently, whenever possible, these anatomical lung resections are performed thoracoscopically, as they offer significant improvements in terms of postoperative pain, number of postoperative complications, rehabilitation, tolerance for adjuvant chemotherapy, and length of hospital stay. The development of an 'Enhanced Recovery After Surgery' (ERAS) protocol for lung surgery has further reduced hospital stay and the need for opioids for analgesia. Despite the optimal implementation of the ERAS protocol, there are still patients who need to stay in the hospital longer than the median. The aim of this research is to investigate the reasons for this.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients referred for elective minimally invasive (uniportal or multiportal video- or robot-assisted) anatomical lung resection (lobectomy or segmentectomy)
Informed consent obtained pre-operatively
Age 18 years or older
Disqualifiers
Patients younger than 18 years old
Traumatic event as indication for lung resection
Non-anatomical lung resections
Thoracotomy
Trial population
Patients scheduled for thoracoscopic anatomical lung resection. An estimated 136 patients should be included after power calculation
Trial design
Cohort
Prospective
Treatments tested in this trial
VATS/RATS anatomical lung resection
Procedure/SurgeryPerioperative care according to the ERAS protocol for lung surgery
Treatment groups
Trial outcomes
Primary outcomes
Length of hospital stay (days)
The primary objective is to investigate the length of hospital stay of patients undergoing minimally invasive thoracoscopic anatomical lung resection with peri-operative care according to the Enhanced Recovery After Surgery (ERAS) protocol for lung surgery
Secondary outcomes
Reasons for delayed discharge (more than 2 days postoperatively) identified through daily questionnaires and review of medical records.
* Postoperative pain (NRS) * Postoperative nausea and vomiting (yes/no) * Air leak duration (days)
Number, frequency and severity of postoperative complications during hospital stay.
Sponsors and contacts
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University Hospital, Ghent
Lead sponsor
AZ Sint-Lucas Brugge
Collaborator