Lung cancer that can be treated with feasible single-port or multi-port video-assisted thoracoscopic surgery (VATS) for lobectomy or segmentectomy
Conditions
Interventions
Control group (non-vagus nerve block group:After the surgery begins, under VATS assistance, the surgeon visually performs the action of blocking the vagus nerve as if administering medication, without
Experimental group (vagus nerve block group):After the operation began, intrathoracic vagus nerve block was performed directly under the assistance of VATS during the operation. Identify the odd venou
Sponsors
Peking University First Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Age: 18–75 years; ASA classification: I–III; 2.To undergo single-orifice-port thoracoscopic lobectomy or segmentectomy; 3.Preoperative pulmonary function test showing FEV1 >= 60% of predicted value; 4.Body mass index (BMI): 18–30 kg/m²; 5.Sign the informed consent form;
Exclusion criteria
Exclusion criteria: 1.History of thoracic surgery or thoracic radiotherapy; 2.ASA classification IV or higher; 3.Coagulation disorders (INR> 1.5, platelet count <100 × 10?/L); 4.History of local anesthesia drug allergy; 5.History of chronic pain or long-term use of opioids; 6.Cognitive dysfunction preventing completion of the QoR-15 assessment;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| QoR-15 score at 24 hours postoperatively; | — |
Secondary
| Measure | Time frame |
|---|---|
| The severity of pain in post-operative patients;The number of times rescue analgesia is required post-operatively;Post-operative nausea and vomiting (PONV);Time of first post-operative mobilisation;Quality of sleep on the day of surgery (Campbell Scale);Length of hospital stay following surgery;Incidence of complications during hospitalisation;Safety indicators: including hoarseness, respiration-related adverse events, and bradycardia; | — |
Countries
China
Contacts
Public ContactLin Gang
Peking University First Hospital
Outcome results
None listed