Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections

Recruiting

• Conditions: VATS; RATS Surgery; Air Leakage; Postoperative Complication; Pain Postoperative; Minimally Invasive Surgical Procedures; Pulmonary Lobectomy; Pulmonary Segmentectomy

• Registration Number: NCT06638645
• Lead Sponsor: University Hospital, Ghent

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2024-10-01
• Study First Submitted QC: 2024-10-10
• Study First Posted: 2024-10-15
• Study Start: 2024-11-12
• Status Verified: 2025-01
• Last Update Submitted: 2025-01-13
• Last Update Posted: 2025-01-15
• Primary Completion: 2025-12-31
• Study Completion: 2025-12-31

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 140

Inclusion Criteria

• 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

Exclusion Criteria

• Patients younger than 18 years old
• Traumatic event as indication for lung resection
• Non-anatomical lung resections
• Thoracotomy
• Patients already hospitalized for other pathologies, pre-existent and not related to the lung surgery
• Urgent/emergency procedures

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Length of hospital stay (days)	immediately after surgery until hospital discharge (1 week on average), up to 3 months	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 Outcome Measures

Name	Time	Method
Reasons for delayed discharge (more than 2 days postoperatively) identified through daily questionnaires and review of medical records.	immediately after surgery until hospital discharge (1 week on average), up to 3 months	* Postoperative pain (NRS); * Postoperative nausea and vomiting (yes/no); * Air leak duration (days)
Number, frequency and severity of postoperative complications during hospital stay.	immediately after surgery until hospital discharge (1 week on average), up to 3 months

Trial Locations

Locations (2)

AZ Sint-Jan Brugge-Oostende AV; 🇧🇪 Bruges, Belgium

Ghent University Hospital; 🇧🇪 Ghent, Belgium