Cardiothoracic & vascular anesthesia
Postoperative Pain Intensity After Single-port, Double-port, and Triple-port Video-assisted Lung Lobectomy: A Three-arm Parallel Randomized Clinical Trial
Authors' conclusion
This study revealed no differences in pain intensity in the early postoperative period between three different technical variants of VATS lobectomy when an analgesia protocol based on thoracic epidural anesthesia was used.
Study context
- Population
- Adults, ASA I–III, scheduled for elective video-assisted thoracic surgery (VATS) lobectomy for early-stage non-small cell lung cancer, under multimodal analgesia incl. thoracic epidural analgesia91 completed protocol
- Participants
- 112 adults
- Comparison
- Single-port vs double-port vs triple-port VATS lobectomy
- Primary endpoint
- Postoperative pain intensity at rest and when coughing
- Follow-up
- First 72 hours after surgery
Methodological detailsprospective, three parallel arms, single-centre
- Prospective
- Three parallel arms
- Single-centre
Primary result
As reported in the abstract
Postoperative pain intensity · first 72 hours
- No significant difference between groups in pain at rest
- p = 0.319
- No significant difference between groups in pain when coughing
- p = 0.202
Safety
Postoperative complications
- No difference in incidence between groups
Original publication
Postoperative Pain Intensity After Single-port, Double-port, and Triple-port Video-assisted Lung Lobectomy: A Three-arm Parallel Randomized Clinical Trial. J Cardiothorac Vasc Anesth. Published 7 March 2025. doi:10. 1053/ j. jvca. 2025. 02. 051
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