Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery (VALUE)

McGill University

Status

Enrolling

Conditions

Surgery

Lung Cancer

Treatments

Procedure: Same Day Discharge - Video-Assisted Thoracoscopic Surgery (VATS) Lung

Study type

Interventional

Funder types

Other

Identifiers

NCT05583916

2021-7318

Details and patient eligibility

About

Phase I to evaluate the safety and feasibility of same-day discharge in selected participants undergoing minimally-invasive lung surgery and who receive an enhanced recovery pathway.

Enrollment

20 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Signed or verbal informed consent by participant
Male and female adults, age 18 and above
Clinical stage I-II lung cancer (suspected, proven, unproven), or secondary pulmonary malignancy
BMI < 35
ECOG 0-1
Eligible for surgery and lung cancer resection (FEV1 > 60%, DLCO > 60%)
Elective VATS anatomic resection (segmentectomy or lobectomy), or wedge resection
Capable caregiver for discharge home

Exclusion criteria

Clinical stage III lung cancer
Surgery requiring pneumonectomy
Neoadjuvant therapy
Active pregnancy or breastfeeding
History of chronic pain syndromes
History of chronic opioid use
Concomitant major surgery indicated with current admission to hospital
Anticipated intraoperative complication including conversion to thoracotomy, major bleeding requiring blood transfusion, extensive adhesiolysis, injury to mediastinal structures, airway injury, nerve injury (phrenic, recurrent)
Need for epidural or patient-controlled intravenous analgesia
Need for urinary catheter