Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: VATS/RATS anatomical lung resection.
- Who it may be relevant to
- Registry conditions: Minimally Invasive Surgical Procedures, VATS, RATS Surgery, Pulmonary Lobectomy. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Belgium
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Reasons for Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections
Overview
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
- Procedure VATS/RATS anatomical lung resection
Perioperative care according to the ERAS protocol for lung surgery
Primary outcome measures
- Length of hospital stay (days) [Time frame: immediately after surgery until hospital discharge (1 week on average), up to 3 months]
Secondary outcome measures (2)
- Reasons for delayed discharge (more than 2 days postoperatively) identified through daily questionnaires and review of medical records. [Time frame: immediately after surgery until hospital discharge (1 week on average), up to 3 months]
- Number, frequency and severity of postoperative complications during hospital stay. [Time frame: immediately after surgery until hospital discharge (1 week on average), up to 3 months]
Eligibility criteria
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
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Belgium · 2 centers
- AZ Sint-Jan Brugge-Oostende AV — Bruges
- Ghent University Hospital — Ghent
Identifiers
NCT: NCT06638645 · THE-2024-0246