Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections

University Hospital, Ghent140 enrolled

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.

Study Type

OBSERVATIONAL

Enrollment

140

Conditions

Minimally Invasive Surgical Procedures VATS RATS Surgery Pulmonary Lobectomy Pulmonary Segmentectomy Air Leakage

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (2)

AZ Sint-Jan Brugge-Oostende AV

Bruges, Belgium

RECRUITING

Ghent University Hospital

Ghent, Belgium

RECRUITING

Outcomes

Primary Outcomes

Length of hospital stay (days)

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

Time frame: immediately after surgery until hospital discharge (1 week on average), up to 3 months

Secondary Outcomes

Reasons for delayed discharge (more than 2 days postoperatively) identified through daily questionnaires and review of medical records.

* Postoperative pain (NRS) * Postoperative nausea and vomiting (yes/no) * Air leak duration (days)

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

Prolonged Hospital Stay After Thoracoscopic Anatomical Lung Resections

Overview

Conditions

Interventions

Eligibility

Locations (2)

Outcomes

Primary Outcomes

Secondary Outcomes

Central Contacts