Lung cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Individuals aged from 18 to 80 year-old who have lung cancer with clinical Stage II and IIIa amenable for video-assisted thoracoscopic tumor resection with curative intention will be included.The clinical stage classification refers to the 8th edition of lung cancer stage classification released by International Association for the Study of Lung Cancer (IASLC) in 2017. 2.Participants will be required to pass functional respiratory tests with forced expiratory volume at one second > 50% or forced vital capacity > 50% preoperatively. 3.All participants will be voluntary and asked to sign the informed consent form before investigation.
Exclusion criteria
Exclusion criteria: (a) Concurrent malignancies or with distant metastasis (b) Undergoing emergency surgery (c) Pregnancy or lactation (d) History of heart disease (coronary artery disease, heart valve disease, and/or history of arrhythmia) (e) Inability to undergo mechanical ventilation for pulmonary protection (f) Severe neurologic conditions, severe renal or liver insufficiency (creatinine >186 mmol L-1, bilirubin >20 mmol L-1, or plasma albumin <30 g L-1) (g) History of autoimmune disease or receiving chronic treatment of corticosteroids or immunosuppressants 3 months before surgery (h) Suffering from chronic pain within a long-term oral analgesicis treatment (i) Transfusion of blood products in the past 10 days (j) American Society of Anesthesiologists (ASA) physical status classification of IV or higher (k) Inappropriate for epidural anaesthesia (l) Lidocaine sensitivity or allergy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall survival;Disease free survival; | — |
Secondary
| Measure | Time frame |
|---|---|
| Acute postoperative pain;Choronic postsurgical pain;Perioperative opioid use;Incidence of Postoperative complications;Length of stay; | — |
Countries
China
Contacts
Zhongshan Hospital, Fudan University