Robot-assisted Lobectomy Versus Video-assisted Lobectomy

Hospital Nord200 enrolled

Overview

This prospective and observational cohort studies the morphine consumption difference during the first 48 hours after a lung lobectomy between patients operated with a robot assisted or a video-assisted technique for a lung cancer lobectomy. Second outcome was to search eventual cardiac output difference during the surgery in 100 patients (50 in each group) using a non invasive monitoring device of cardiac output All patients operated between january 2016 and March 2017 for a lung cancer lobectomy were included.

Study Type

OBSERVATIONAL

Enrollment

200

Conditions

Robotic Surgical Procedures Pneumonectomy; Status Anesthesia and Analgesia Cardiac Output

Interventions

Cardiac output measureOTHER

we observe the cardiac output during surgical procedure using a non-invasive cardiac output monitoring device (ClearSight from Edwards lifescience laboratory )

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Volunteers * Mono lobectomy of lung for early stage cancer (T2Nx and earlier) * Video or robot assisted procedure Exclusion Criteria: * Advanced stage of cancer (T3Nx and greater) * Need of thoracotomy conversion during procedure * Morphine intolerance or addiction.

Outcomes

Primary Outcomes

Morphine consumption

morphine consumption for each patient using a self patient - controled morphine pump

Time frame: 48 hours after surgery

Secondary Outcomes

cardiac output

continuous cardiac output during surgery procedure

Time frame: during 30 minutes after incision and optic introduction

Data from ClinicalTrials.gov

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