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Lung NeoplasmsNCT02031809

Multicentric Study VATS Major Introperative Complications

An observational study of Lung Neoplasms, run by University Hospital, Gasthuisberg at 9 sites in 9 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study investigates the most common major complications that result in unplanned additional surgery in patients undergoing vats anatomical resections. Several high-volume European centres participate. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Lung Neoplasms
How many people
3,076 participants
Where
9 sitesin 9 countries
Study dates
Jan 2014to Oct 2015
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: All patients intended to undergo a vats anatomical resection

Who may be able to join

  • Patients that did undergo resection for oncologic reasons

Who cannot join

  • Patients that did not undergo resection for oncologic reasons, such as pleural metastasis, irresectable disease.

Trial locations and contacts

9 sites in 9 countries.

9 sites in 9 countries

Austria1 site
  • Department of Visceral, Transplant and Thoracic Surgery, Innsbruck University Hospital

    Innsbruck

Other trials in Austria

Denmark1 site
  • Department of Cardiothoracic Surgery, Rigshospitalet

    Copenhagen

Other trials in Denmark

France1 site
  • Thoracic Department, Institut Mutualiste Montsouris

    Paris, F-75014

Other trials in France

Germany1 site
  • Katholisches Klinikum, Thoraxchirurgie

    Koblenz

Other trials in Germany

Italy1 site
  • Division of Thoracic Surgery, Ospedali Riuniti Ancona

    Ancona, 60020

Other trials in Italy

Netherlands1 site
  • Maatschap Heelkunde Zuid-Limburg

    Heerlen

Other trials in Netherlands

Poland1 site
  • Karol Marcinkowski University of Med Sciences, Department of Thoracic Surgery

    Poznan

Other trials in Poland

Spain1 site
  • Department of Thoracic Surgery

    A Coruña

Other trials in Spain

Switzerland1 site
  • UniversitätsSpital Zürich

    Zurich

Other trials in Switzerland

About this study

Official title: Analysis of the Most Common Major Intraoperative Complications During Video-assisted Thoracoscopic Surgery (VATS) Anatomical Resections - On Behalf of MITIG-ESTS

This study investigates the most common major complications that result in unplanned additional surgery in patients undergoing vats anatomical resections. Several high-volume European centres participate. The purpose is to quantify these major complications, discuss the steps that can be taken to prevent these events, how they can be dealt with, be it by vats or conversion

Read the detailed description

Vats lobectomy is becoming the standard of care for early stage lung cancer. Several studies have shown feasibility and safety in dedicated centres. Compared to thoracotomy the procedure results in at least equal oncologic results and survival, perhaps better.

Most series do not publish their early experience. They are retrospective and report on lobectomies and segmentectomies, excluding the live-saving pneumonectomies. They are potentially ignoring the intention-to-treat principle, excluding conversions.

Based on scarce existing literature and conference worst-case presentations a pattern of the most common intraoperative major complications can be drawn In Europe, a large percentage of high-volume-centres have now successfully implemented a vats lobectomy program. In this era with low-volume-centres switching into vats anatomical resections, it is important to focus on potentially life-threatening complications. To be aware of potential hazards is the best way to avoid them.

Conditions
Lung Neoplasms
Keywords
Thoracic Surgery, Video-Assisted
Medical subject headings
Lung Neoplasms

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

Study groups in NCT02031809
Study groupRoleWhat they receive
No additional unplanned major surgeryuneventfull intra-operative and postoperative course
Additional unplanned major surgeryAdditional per-operative or post-operative unplanned major surgery such as unforeseen pneumonectomy, bilobectomy, lobectomy or additional segmentectomy, repair of major vessels or bronchi, bronchopleural fistula, unplanned surgery to other organs, within 30 days after the primary surgery. These do not include: * Conversions without additional unplanned major surgery or suddne blood loss less than 500cc * Conversions or additional resection for unforeseen oncologic reasons. * Plasty, repair or sleeve resection of vessels after deliberate resection or transection for oncologic reasons

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. additional unplanned major surgery

    the percentage of major complications that resulted in additional unplanned major surgery during vats anatomical resection or at revision within 30 days.

    Measured: during vats anatomical resection or at revision within 30 days

Secondary outcomes (1)
  1. number of conversions to open surgery

    The number of VATS procedures that need conversion to open surgery because of major complications or unplanned major surgery

    Measured: during VATS procedure

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted9 Jan 2014 (estimated)
  2. Study startJan 2014
  3. Primary completionSep 2015
  4. Study completionOct 2015

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Retrospective
Enrolment
3,076 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02031809
Sponsor's protocol ID
MC_VATS complic
Status last verified
Sep 2019
First submitted
7 Jan 2014
Last updated
26 Sep 2019
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

An observational study of Lung Neoplasms, run by University Hospital, Gasthuisberg at 9 sites in 9 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 26 Sep 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in Austria, Denmark, France, Germany, Italy and 4 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

additional unplanned major surgery (time frame: during vats anatomical resection or at revision within 30 days). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Sep 2019.

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