Drainless Robot-assisted Minimally Invasive Esophagectomy (RESPECT)

Technische Universität Dresden

Status

Terminated

Conditions

Esophageal Cancer

Treatments

Procedure: Chest drain

Procedure: Early removal of chest drain

Study type

Interventional

Funder types

Other

Identifiers

NCT05553795

VTG-11

Details and patient eligibility

About

The aim of this study is the evaluation of two different chest drain management strategies in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer with regard to perioperative complications until discharge.The primary objective of the study is to investigate whether the intensity of postoperative pain can be significantly reduced by avoiding thoracic drains after RAMIE. We assume that this will influence secondary endpoints such as early recovery and length of hospital stay.

Enrollment

49 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Patients scheduled for elective RAMIE for esophageal cancer with intrathoracic esophagogastrostomy (Ivor-Lewis)
American Society of Anesthesiologists (ASA) score ≤ III
Eastern Cooperative of Oncology Group (ECOG) status ≤ II
Patient suitable for both surgical techniques
Ability of subject to understand character and individual consequences of the clinical trial
Written informed consent

Exclusion criteria

Open esophagectomy (either abdominal or during the thoracic part)
Emergency operations
ASA IV
ECOG > II
Chronic pain syndromes requiring routine analgesics
Simultaneous lung resection
Presence of contraindications to the use of epidural anesthesia (e.g. coagulopathies, anticoagulation or allergies)
Participation in an interventional trial, which interferes with the outcome
Impaired mental state