Air Leakage, Minimally Invasive Surgical Procedures, Pain Postoperative, Postoperative Complication, Pulmonary Lobectomy, Pulmonary Segmentectomy, RATS Surgery, VATS
Conditions
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.
Interventions
PROCEDUREVATS/RATS anatomical lung resection
Perioperative care according to the ERAS protocol for lung surgery
Sponsors
AZ Sint-Lucas Brugge
University Hospital, Ghent
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 | — |
Countries
Belgium
Contacts
Primary ContactLiesbeth Desender, MD, PhD
Outcome results
None listed