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A Study of Pain Reduction After Pulmonary Resection by RATS-TT, RATS-OTC, and Hybrid RATS.

Recruitingn/aAges 18 Years - anyAllCentre hospitalier de l'Université de Montréal (C…
NCT07184463 on ClinicalTrials.gov ↗
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In plain words

What the trial is, and whether it could suit you

Pulmonary resections are key in treating lung neoplasms, with techniques adapted to tumor size and location. Minimally invasive approaches like VATS have replaced open thoracotomy, but intercostal trocar placement can lead to nerve injury and chronic pain. Robotic-assisted thoracic surgery (RATS) is usually done via a transthoracic (RATS-TT) approach using intercostal trocars. A newer "out of cage" method (RATS-OTC), using subcostal or subxiphoid ports, avoids intercostal access, potentially reducing nerve damage. A French study showed less opioid use and acute pain with RATS-OTC, but chronic pain outcomes are still unknown. At CHUM, a hybrid RATS technique (RATS-TTH) is also used-intercostal for instruments, but with out-of-cage specimen extraction-to limit intercostal trauma.

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📋 Eligibility rules (as published)
Inclusion Criteria: * Patients aged 18 years and older * American Society of Anesthesiologists (ASA) score 1-3 Exclusion Criteria: * Language barrier, psychiatric, physical or mental condition making pain assessment impossible despite prior education * Patient refusal to participate * Patients reoperated by VATS or thoracotomy in the postoperative period in the context of the occurrence of complications
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What it tests

  • Evaluation of chronic pain at 3 and 6 months after thoracic surgery
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Where

1 site
Centre Hospitalier de l'Université de Montreal
Montreal, Canada
🤝 Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible — always decide together with your own doctor.
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