Hemodynamic and Inflammatory Responses in Thoracic Surgery

NCT ID: NCT02647775

Last Updated: 2020-01-22

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

63 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2018-12-31

Brief Summary

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Video-assisted thoracoscopic surgery (VATS) for thoracic surgery is practical, has been shown to reduce postoperative discomfort, and has improved cosmetic results when compare to open thoracotomy. The specific aims of this project are: to clarify the physiologic and immunologic effects of different approaches for minimally invasive thoracic surgery: (1) multiple-port VATS; (2) single-port VATS

Detailed Description

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Video-assisted thoracoscopic surgery (VATS) was first reported in the early 1990s. Since then, the safety and efficacy of thoracoscopy for diagnosing and treating pleural, pulmonary, and mediastinal disease has been demonstrated with similar oncological results, which were confirmed by multiple clinical studies. Although VATS for thoracic surgery is practical, has been shown to reduce postoperative discomfort, and has improved cosmetic results when compare to open thoracotomy, unfortunately chronic thoracic wound discomfort and postoperative neuralgia were found in a significant portion of patients .

Recently, a minimally invasive approach that is different from the conventional multiport thoracoscopic technique is gradually becoming of great interest in the diagnosis and treatment of thoracic surgical disease. Single-port VATS is one of the most promising emerging surgical techniques which allows the surgeon to perform a majority of thoracic surgeries and with similar perioperative outcomes that are comparable with the conventional multiport technique. However, a very limited number of clinical studies have demonstrated the advantages of single port VATS in postoperative pain reduction, when comparing to the traditional multiport thoracoscopic approach.

To clarify the physiologic and immunologic effects of different approaches for minimally invasive thoracic surgery, investigators aim to compare the perioperative physiological changes, immunological responses, and postoperative pain between standard (multi-port) transthoracic thoracoscopic and single-port transthoracic thoracoscopic surgery for thoracic disease.

Conditions

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Video-Assisted Thoracic Surgery

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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multi-port VATS

Multi-port VATS is an operative method

Group Type OTHER

multi-port VATS

Intervention Type PROCEDURE

Patients with thoracic surgical diseases who underwent VATS will be recruited into this study to investigate the postoperative pain , physiologic and immunologic impacts of two different approaches for minimally invasive thoracic surgery.

single-port VATS

Single-port VATS is an operative method

Group Type OTHER

single-port VATS

Intervention Type PROCEDURE

Patients with thoracic surgical diseases who underwent VATS will be recruited into this study to investigate the postoperative pain , physiologic and immunologic impacts of two different approaches for minimally invasive thoracic surgery.

Interventions

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multi-port VATS

Patients with thoracic surgical diseases who underwent VATS will be recruited into this study to investigate the postoperative pain , physiologic and immunologic impacts of two different approaches for minimally invasive thoracic surgery.

Intervention Type PROCEDURE

single-port VATS

Patients with thoracic surgical diseases who underwent VATS will be recruited into this study to investigate the postoperative pain , physiologic and immunologic impacts of two different approaches for minimally invasive thoracic surgery.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patient with thoracic surgical diseases(lung cancer. mediastinal tumor. solitary pulmonary lesion. pneumothorax) who will be underwent video-assisted thoracic surgery

Exclusion Criteria

* Unresectable mediastinal tumor
* Previous history of ipsilateral pulmonary resection
* Patients with complex cardiopulmonary dysfunction
* Unresectable pulmonary hilar tumor
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chang Gung Memorial Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yun-Hen Liu

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Hung-Pin Liu

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Yi-Cheng Wu

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Ming-Ju Hsieh

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Wei-Hsun Chen

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Yen Chu

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Chien-Ying Liu

Role: PRINCIPAL_INVESTIGATOR

Chang Gung Memorial Hospital

Locations

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Chang Gung Memorial Hospital

Taoyuan District, , Taiwan

Site Status

Countries

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Taiwan

References

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Other Identifiers

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CGMH-IRB-104-7159A3

Identifier Type: -

Identifier Source: org_study_id

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