Robotic Assisted Major Lung Resection in Elderly Patients: Results From a Retrospective Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 386
- 试验地点
- 2
- 主要终点
- The perioperative complications
研究概览
简要总结
The study is a retrospective observational study. The study is designed to be multicentric and it will analyze medical records from selected patients that underwent major lung resection using DaVinci surgical platform performed in the participating centers.
There are no risks for the patients, as this is a retrospective data collection.
详细描述
The investigators will recruit all patients who underwent major lung resection (segmentectomy, lobectomy, bilobectomy, or pneumonectomy using a robotic system) from May 2015 to December 2022.
Patients are divided into two groups: older than 80 years (case- very elderly patients) and younger than 80 years (control- elderly).
the aim: Minimally invasive techniques such as robot-assisted thoracoscopic surgery (RATS) can potentially reduce surgical trauma and therefore prove particularly beneficial for elderly patients.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age >18 years at the moment of surgery
- •Suspected or confirmed diagnosis of lung cancer
- •The patient can be candidate in terms of cardiac, kidney, liver and respiratory function the primary pathology is under control or controllable
- •Absence of extrapulmonary metastases that are not controlled or controllable
- •All procedures included use of DaVinci robot system
排除标准
- •Age < 18 years at the moment of surgery
- •Patients who cannot undergo surgery, as they do not meet the conditions outlined above
结局指标
主要结局
The perioperative complications
时间窗: from the surgery at 30-90 days after
the investigators will measure the perioperative complications of robotic lung resection in patients with 80 or more than 80 years (very elderly patients) compared to those with less than 80 years. Complications will be categorized according to the Clavien-Dindo scale.
spirometry tests
时间窗: from hospitalizzation to the discharge date at maximum one week
the investigators will measure the pre-operative respiratory function (Forced expiratory volume (FEV) , forced vital capacity (FVC)), in the two groups .
Postoperative hospital stay
时间窗: from hospitalizzation to the discharge date at maximum one week
the investigators will measure the post-operative hospital stay in days in the two groups.
次要结局
未报告次要终点
研究者
Pierluigi Novellis
Medical doctor
Scientific Institute San Raffaele