In this study the investigator will compare the effectiveness of robot assisted thoracic surgery (RATS) with video assisted thoracic surgery (VATS) in case of lung cancer. The perioperative circumstances and postoperative outcome will be compared.
Participants are randomly subdivided (1:1) to either undergo robot assisted lobectomy or video assisted thoracoscopic lobectomy in case of lung cancer. At the end of both surgical interventions the anaesthesiologist administers the same technique of pain relief: paravertebral blockage. The data that are going to be investigated are: operative time, conversion to spreading of the ribs/thoracotomy, blood loss, lymph node dissection, prolonged air leak, chest tube drainage, length of stay, inflammatory reaction (through inflammatory parameters CRP, IL-3, IL-6, TNF), lung recuperation (through a lung function test) and postoperative pain (VAS score questionnaire).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
NONE
Enrollment
30
The lobectomy will be preformed in case of an operable lung cancer. The thoracic surgery technique used is robot assisted thoracic surgery
The lobectomy will be preformed in case of an operable lung cancer. The thoracic surgery technique used is video assisted thoracic surgery.
Universitair Ziekenhuis Brussel
Jette, Brussels Capital, Belgium
RECRUITINGPostoperative pain
0 = no pain 10 = unbearable pain: VASscore
Time frame: 2 months
blood loss
ml
Time frame: up to 4 hours
operative time
duration of surgery
Time frame: up to 4 hours
conversion to spreading of the ribs/thoracotomy
0 = no 1 = yes
Time frame: up to 4 hours
lymph node dissection
number of lymph nodes
Time frame: up to 4 hours
prolonged air leak
chest tube present longer than usual
Time frame: up to 7 days
chest tube drainage
ml
Time frame: up to 7 days
length of stay
duration of hospitalisation after surgery
Time frame: up to 7 days
pulmonary function
recovery of function of the operated lung
Time frame: 2 months
Inflammatory reaction
these inflammatory parameters will be determined: C-reactive protein; IL-3; IL-6; TNF
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Time frame: 48 hours