Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital, Ghent

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 volunteers

Qualifiers

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

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • VATS/RATS anatomical lung resection

    Procedure/Surgery

    Perioperative care according to the ERAS protocol for lung surgery

Treatment groups

140 Participants
are divided into 1 treatment group
Group A: Patients undergoing a minimally invasive anatomical lung resection1 intervention

Trial outcomes

Primary outcomes

1

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

Time frame
immediately after surgery until hospital discharge (1 week on average), up to 3 months

Secondary outcomes

1

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)

Time frame
immediately after surgery until hospital discharge (1 week on average), up to 3 months
2

Number, frequency and severity of postoperative complications during hospital stay.

Time frame
immediately after surgery until hospital discharge (1 week on average), up to 3 months

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

University Hospital, Ghent

Lead sponsor

AZ Sint-Lucas Brugge

Collaborator