NCT02647775

Brief Summary

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

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
63

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Jan 2016

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 28, 2015

Completed
4 days until next milestone

Study Start

First participant enrolled

January 1, 2016

Completed
5 days until next milestone

First Posted

Study publicly available on registry

January 6, 2016

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2018

Completed
11 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2018

Completed
Last Updated

January 22, 2020

Status Verified

January 1, 2020

Enrollment Period

2 years

First QC Date

December 28, 2015

Last Update Submit

January 19, 2020

Conditions

Keywords

Thoracoscopic surgery

Outcome Measures

Primary Outcomes (1)

  • Pain score

    Numerical Rating Scale (NRS) or Wong-Baker Face Pain Rating Scale

    beginning at 3 hours after surgery until 5 days

Secondary Outcomes (11)

  • Complication

    beginning at 3 hours after surgery until 30 days

  • Mean arterial pressure

    beginning 20 min before the start of surgery until 20 min after the surgery.

  • Heart rate

    beginning 20 min before the start of surgery until 20 min after the surgery.

  • Cardiac index

    beginning 20 min before the start of surgery until 20 min after the surgery.

  • Systemic vascular resistance index

    beginning 20 min before the start of surgery until 20 min after the surgery.

  • +6 more secondary outcomes

Study Arms (2)

multi-port VATS

OTHER

Multi-port VATS is an operative method

Procedure: multi-port VATS

single-port VATS

OTHER

Single-port VATS is an operative method

Procedure: single-port VATS

Interventions

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.

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.

single-port VATS

Eligibility Criteria

Age15 Years+
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • Unresectable mediastinal tumor
  • Previous history of ipsilateral pulmonary resection
  • Patients with complex cardiopulmonary dysfunction
  • Unresectable pulmonary hilar tumor

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Chang Gung Memorial Hospital

Taoyuan District, 333, Taiwan

Location

Related Publications (33)

  • Nagahiro I, Andou A, Aoe M, Sano Y, Date H, Shimizu N. Pulmonary function, postoperative pain, and serum cytokine level after lobectomy: a comparison of VATS and conventional procedure. Ann Thorac Surg. 2001 Aug;72(2):362-5. doi: 10.1016/s0003-4975(01)02804-1.

    PMID: 11515867BACKGROUND
  • Flores RM, Park BJ, Dycoco J, Aronova A, Hirth Y, Rizk NP, Bains M, Downey RJ, Rusch VW. Lobectomy by video-assisted thoracic surgery (VATS) versus thoracotomy for lung cancer. J Thorac Cardiovasc Surg. 2009 Jul;138(1):11-8. doi: 10.1016/j.jtcvs.2009.03.030.

    PMID: 19577048BACKGROUND
  • Onaitis MW, Petersen RP, Balderson SS, Toloza E, Burfeind WR, Harpole DH Jr, D'Amico TA. Thoracoscopic lobectomy is a safe and versatile procedure: experience with 500 consecutive patients. Ann Surg. 2006 Sep;244(3):420-5. doi: 10.1097/01.sla.0000234892.79056.63.

    PMID: 16926568BACKGROUND
  • Sihoe AD, Au SS, Cheung ML, Chow IK, Chu KM, Law CY, Wan M, Yim AP. Incidence of chest wall paresthesia after video-assisted thoracic surgery for primary spontaneous pneumothorax. Eur J Cardiothorac Surg. 2004 Jun;25(6):1054-8. doi: 10.1016/j.ejcts.2004.02.018.

    PMID: 15145009BACKGROUND
  • Rocco G, Martin-Ucar A, Passera E. Uniportal VATS wedge pulmonary resections. Ann Thorac Surg. 2004 Feb;77(2):726-8. doi: 10.1016/S0003-4975(03)01219-0.

    PMID: 14759479BACKGROUND
  • Gonzalez-Rivas D, Fieira E, Mendez L, Garcia J. Single-port video-assisted thoracoscopic anatomic segmentectomy and right upper lobectomy. Eur J Cardiothorac Surg. 2012 Dec;42(6):e169-71. doi: 10.1093/ejcts/ezs482. Epub 2012 Aug 24.

    PMID: 22922693BACKGROUND
  • Gonzalez-Rivas D, de la Torre M, Fernandez R, Garcia J. Video: Single-incision video-assisted thoracoscopic right pneumonectomy. Surg Endosc. 2012 Jul;26(7):2078-9. doi: 10.1007/s00464-011-2127-x. Epub 2012 Jan 11.

    PMID: 22234590BACKGROUND
  • Gonzalez-Rivas D, Fieira E, Delgado M, de la Torre M, Mendez L, Fernandez R. Uniportal video-assisted thoracoscopic sleeve lobectomy and other complex resections. J Thorac Dis. 2014 Oct;6(Suppl 6):S674-81. doi: 10.3978/j.issn.2072-1439.2014.09.17.

    PMID: 25379210BACKGROUND
  • Wang BY, Liu CY, Hsu PK, Shih CS, Liu CC. Single-incision versus multiple-incision thoracoscopic lobectomy and segmentectomy: a propensity-matched analysis. Ann Surg. 2015 Apr;261(4):793-9. doi: 10.1097/SLA.0000000000000712.

    PMID: 24836148BACKGROUND
  • Ocakcioglu I, Alpay L, Demir M, Kiral H, Akyil M, Dogruyol T, Tezel C, Baysungur V, Yalcinkaya I. Is single port enough in minimally surgery for pneumothorax? Surg Endosc. 2016 Jan;30(1):59-64. doi: 10.1007/s00464-015-4161-6. Epub 2015 Mar 24.

    PMID: 25801108BACKGROUND
  • Swanstrom LL, Kurian A, Dunst CM, Sharata A, Bhayani N, Rieder E. Long-term outcomes of an endoscopic myotomy for achalasia: the POEM procedure. Ann Surg. 2012 Oct;256(4):659-67. doi: 10.1097/SLA.0b013e31826b5212.

    PMID: 22982946BACKGROUND
  • Ujiki MB, Yetasook AK, Zapf M, Linn JG, Carbray JM, Denham W. Peroral endoscopic myotomy: A short-term comparison with the standard laparoscopic approach. Surgery. 2013 Oct;154(4):893-7; discussion 897-900. doi: 10.1016/j.surg.2013.04.042.

    PMID: 24074429BACKGROUND
  • Liu YH, Chu Y, Wu YC, Yeh CJ, Liu CY, Hsieh MJ, Yuan HC, Ko PJ, Liu HP. Natural orifice surgery in thoracic surgery. J Thorac Dis. 2014 Jan;6(1):61-3. doi: 10.3978/j.issn.2072-1439.2014.01.02. No abstract available.

    PMID: 24455178BACKGROUND
  • Takata M, Watanabe G, Ushijima T, Ishikawa N. A novel internal thoracic artery harvesting technique via subxiphoid approach--for the least invasive coronary artery bypass grafting. Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):891-2. doi: 10.1510/icvts.2009.212282. Epub 2009 Aug 31.

    PMID: 19720658BACKGROUND
  • St Peter SD, Sharp SW, Ostlie DJ, Snyder CL, Holcomb GW 3rd, Sharp RJ. Use of a subxiphoid incision for pectus bar placement in the repair of pectus excavatum. J Pediatr Surg. 2010 Jun;45(6):1361-4. doi: 10.1016/j.jpedsurg.2010.02.115.

    PMID: 20620345BACKGROUND
  • Taniguchi Y, Suzuki Y, Suda T, Inoue T, Araki K, Ito N, Okada K, Ishiguro K, Nakamura H, Ohgi S. Video-assisted thoracoscopic bilateral lung metastasectomy with a subxiphoid access port. J Thorac Cardiovasc Surg. 2005 Sep;130(3):916-7. doi: 10.1016/j.jtcvs.2005.03.039. No abstract available.

    PMID: 16153963BACKGROUND
  • Suda T, Ashikari S, Tochii S, Sugimura H, Hattori Y. Single-incision subxiphoid approach for bilateral metastasectomy. Ann Thorac Surg. 2014 Feb;97(2):718-9. doi: 10.1016/j.athoracsur.2013.06.123.

    PMID: 24484826BACKGROUND
  • Liu CC, Wang BY, Shih CS, Liu YH. Subxiphoid single-incision thoracoscopic left upper lobectomy. J Thorac Cardiovasc Surg. 2014 Dec;148(6):3250-1. doi: 10.1016/j.jtcvs.2014.08.033. Epub 2014 Aug 23. No abstract available.

    PMID: 25240526BACKGROUND
  • Craig SR, Leaver HA, Yap PL, Pugh GC, Walker WS. Acute phase responses following minimal access and conventional thoracic surgery. Eur J Cardiothorac Surg. 2001 Sep;20(3):455-63. doi: 10.1016/s1010-7940(01)00841-7.

    PMID: 11509263BACKGROUND
  • Martins PS, Kallas EG, Neto MC, Dalboni MA, Blecher S, Salomao R. Upregulation of reactive oxygen species generation and phagocytosis, and increased apoptosis in human neutrophils during severe sepsis and septic shock. Shock. 2003 Sep;20(3):208-12. doi: 10.1097/01.shk.0000079425.52617.db.

    PMID: 12923490BACKGROUND
  • Haugen TS, Skjonsberg OH, Kahler H, Lyberg T. Production of oxidants in alveolar macrophages and blood leukocytes. Eur Respir J. 1999 Nov;14(5):1100-5. doi: 10.1183/09031936.99.14511009.

    PMID: 10596697BACKGROUND
  • Romeo C, Impellizzeri P, Antonuccio P, Turiaco N, Cifala S, Gentile C, Passaniti M, Marini H, Squadrito F, Altavilla D. Peritoneal macrophage activity after laparoscopy or laparotomy. J Pediatr Surg. 2003 Jan;38(1):97-101; discussion 97-101. doi: 10.1053/jpsu.2003.50019.

    PMID: 12592628BACKGROUND
  • Ni Choileain N, Redmond HP. Cell response to surgery. Arch Surg. 2006 Nov;141(11):1132-40. doi: 10.1001/archsurg.141.11.1132.

    PMID: 17116807BACKGROUND
  • Wichmann MW, Huttl TP, Winter H, Spelsberg F, Angele MK, Heiss MM, Jauch KW. Immunological effects of laparoscopic vs open colorectal surgery: a prospective clinical study. Arch Surg. 2005 Jul;140(7):692-7. doi: 10.1001/archsurg.140.7.692.

    PMID: 16027336BACKGROUND
  • Ordemann J, Jacobi CA, Schwenk W, Stosslein R, Muller JM. Cellular and humoral inflammatory response after laparoscopic and conventional colorectal resections. Surg Endosc. 2001 Jun;15(6):600-8. doi: 10.1007/s004640090032. Epub 2001 Apr 3.

    PMID: 11591950BACKGROUND
  • Ng CS, Wan S, Hui CW, Lee TW, Underwood MJ, Yim AP. Video-assisted thoracic surgery for early stage lung cancer - can short-term immunological advantages improve long-term survival? Ann Thorac Cardiovasc Surg. 2006 Oct;12(5):308-12.

    PMID: 17095971BACKGROUND
  • Ng CS, Whelan RL, Lacy AM, Yim AP. Is minimal access surgery for cancer associated with immunologic benefits? World J Surg. 2005 Aug;29(8):975-81. doi: 10.1007/s00268-005-0029-6.

    PMID: 15981046BACKGROUND
  • Natsume T, Kawahira H, Hayashi H, Nabeya Y, Akai T, Horibe D, Shuto K, Akutsu Y, Matsushita K, Nomura F, Matsubara H. Low peritoneal and systemic inflammatory response after laparoscopy-assisted gastrectomy compared to open gastrectomy. Hepatogastroenterology. 2011 Mar-Apr;58(106):659-62.

    PMID: 21661448BACKGROUND
  • von Delius S, Wilhelm D, Feussner H, Sager J, Becker V, Schuster T, Schneider A, Schmid RM, Meining A. Natural orifice transluminal endoscopic surgery: cardiopulmonary safety of transesophageal mediastinoscopy. Endoscopy. 2010 May;42(5):405-12. doi: 10.1055/s-0029-1243948. Epub 2010 Mar 4.

    PMID: 20205072BACKGROUND
  • von Delius S, Schorn A, Grimm M, Schneider A, Wilhelm D, Schuster T, Stangassinger M, Feussner H, Schmid RM, Meining A. Natural-orifice transluminal endoscopic surgery: low-pressure pneumoperitoneum is sufficient and is associated with an improved cardiopulmonary response (PressurePig Study). Endoscopy. 2011 Sep;43(9):808-15. doi: 10.1055/s-0030-1256559. Epub 2011 Jul 5.

    PMID: 21732271BACKGROUND
  • Navarro-Ripoll R, Martinez-Palli G, Guarner-Argente C, Cordova H, Martinez-Zamora MA, Comas J, Rodriguez de Miguel C, Beltran M, Rodriguez-D'Jesus A, Hernandez-Cera C, Llach J, Balust J, Fernandez-Esparrach G. On-demand endoscopic CO2 insufflation with feedback pressure regulation during natural orifice transluminal endoscopic surgery (NOTES) peritoneoscopy induces minimal hemodynamic and respiratory changes. Gastrointest Endosc. 2012 Aug;76(2):388-95. doi: 10.1016/j.gie.2011.10.015.

    PMID: 22817790BACKGROUND
  • Chu Y, Liu CY, Wu YC, Hsieh MJ, Chen TP, Chao YK, Wu CY, Yuan HC, Ko PJ, Liu YH, Liu HP. Comparison of hemodynamic and inflammatory changes between transoral and transthoracic thoracoscopic surgery. PLoS One. 2013;8(1):e50338. doi: 10.1371/journal.pone.0050338. Epub 2013 Jan 3.

    PMID: 23300944BACKGROUND
  • Lu HY, Chu Y, Wu YC, Liu CY, Hsieh MJ, Chao YK, Wu CY, Yuan HC, Ko PJ, Liu YH, Liu HP. Hemodynamic and inflammatory responses following transumbilical and transthoracic lung wedge resection in a live canine model. Int J Surg. 2015 Apr;16(Pt A):116-122. doi: 10.1016/j.ijsu.2015.02.027. Epub 2015 Mar 11.

    PMID: 25769396BACKGROUND

Study Officials

  • Yun-Hen Liu

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Hung-Pin Liu

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Yi-Cheng Wu

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Ming-Ju Hsieh

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Wei-Hsun Chen

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Yen Chu

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR
  • Chien-Ying Liu

    Chang Gung Memorial Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 28, 2015

First Posted

January 6, 2016

Study Start

January 1, 2016

Primary Completion

January 1, 2018

Study Completion

December 1, 2018

Last Updated

January 22, 2020

Record last verified: 2020-01

Data Sharing

IPD Sharing
Will share

All collected IPD, all IPD that underlie results in a publication

Time Frame
Starting 6 months after publication

Locations