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Video-assisted thoracoscopic lobectomy (VATS) versus conventional Open Lobectomy for lung cancer

Not Applicable
Completed
Conditions
ung cancer (stage cT1a-2b N0-1 M0)
Cancer
Malignant neoplasm of bronchus and lung
Registration Number
ISRCTN13472721
Lead Sponsor
Royal Brompton & Harefield NHS Foundation Trust
Brief Summary

2019 Protocol article in https://pubmed.ncbi.nlm.nih.gov/31615795/ protocol 2022 Results article in https://doi.org/10.1056/EVIDoa2100016 results (added 27/01/2022) 2022 Results article in https://pubmed.ncbi.nlm.nih.gov/36524582/ (added 19/12/2022)

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
503
Inclusion Criteria

Current participant inclusion criteria as of 08/01/2019:
1. Adults aged =16 years of age
2. Able to give written consent, undergoing either:
2.1. Lobectomy or bilobectomy for treatment of known or suspected primary lung cancer beyond lobar orifice* in TNM8 stage cT1-3 (by size criteria, equivalent to TNM7 stage cT1a-2b) or cT3 (by virtue of 2 nodules in the same lobe), N0-1 and M0 or
2.2. Undergoing frozen section biopsy with the intention to proceed with lobectomy or bilobectomy if primary lung cancer with a peripheral tumour beyond a lobar orifice* in TNM8 stage cT1-3 (by size criteria, equivalent to TNM7 stage cT1a-2b) or cT3 (by virtue of 2 nodules in the same lobe), N0-1 and M0 is confirmed
3. Disease suitable for both minimal access (VATS) and open surgery

Previous participant inclusion criteria:
1. Adults aged =16 years of age
2. Able to give written consent, undergoing either:
2.1. Lobectomy for treatment of known or suspected primary lung cancer beyond lobular orifice in stage cT1a-2b N0-1 M0 or
2.2. Undergoing frozen section biopsy with the intention to proceed with lobectomy if primary lung cancer with a peripheral tumour beyond a lobular orifice in stage cT1a-2b N0-1 M0 is confirmed
3. Disease suitable for both minimal access (VATS) and open surgery

Exclusion Criteria

1. Adults lacking capacity to consent
2. Previous malignancy that influences life expectancy
3. Patients in whom a pneumonectomy or non-anatomic resection (e.g. wedge dissection) is planned
4. Patients with a serious concomitant disorder that would compromise patient safety during surgery
5. Planned robotic surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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