[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100644334":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":26,"centralContacts":26,"locations":31,"responsibleParty":49,"collaborators":26,"id":53,"slug":54,"hasResults":55,"nctId":56,"briefTitle":57,"officialTitle":58,"acronym":59,"eligibilityCriteria":60,"healthyVolunteers":55,"sex":61,"minAge":62,"maxAge":26,"enrollmentInfo":63,"targetDuration":26,"studyType":66,"phases":67,"briefSummary":69,"conditions":70,"keywords":76,"overallStatus":34,"whyStopped":26,"lastUpdateSubmitDate":85,"lastUpdatePostDateStruct":86,"startDateStruct":89,"completionDateStruct":91,"leadSponsor":93,"locationsCount":94},{"fullName":5,"class":6},"Ankara University","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Supine Recruitment Group","EXPERIMENTAL","After routine ASA monitoring and induction of general anesthesia, patients will receive a recruitment maneuver before carbon dioxide insufflation while in the supine position. Individualized PEEP will then be determined using decremental PEEP titration.",[13],"Procedure: Recruitment maneuver in the supine position",{"label":15,"type":16,"description":17,"interventionNames":18},"Trendelenburg Recruitment Group","ACTIVE_COMPARATOR","After routine ASA monitoring and induction of general anesthesia, carbon dioxide insufflation and Trendelenburg positioning will be performed. The recruitment maneuver will then be applied, followed by individualized PEEP determination using decremental PEEP titration.",[19],"Procedure: Recruitment maneuver after insufflation and Trendelenburg positioning",[21,27],{"type":22,"name":23,"description":24,"armGroupLabels":25,"otherNames":26},"PROCEDURE","Recruitment maneuver after insufflation and Trendelenburg positioning","A lung recruitment maneuver will be applied after pneumoperitoneum and Trendelenburg positioning, followed by individualized PEEP determination using decremental PEEP titration.",[15],null,{"type":22,"name":28,"description":29,"armGroupLabels":30,"otherNames":26},"Recruitment maneuver in the supine position","The recruitment maneuver will be performed while the patient is in the supine position, before pneumoperitoneum insufflation and Trendelenburg positioning during robotic prostate surgery. The maneuver will be applied according to the predefined intraoperative ventilation protocol to improve alveolar recruitment and reduce postoperative pulmonary complications.",[9],[32],{"facility":33,"status":34,"city":35,"state":26,"zip":26,"country":36,"countryCode":26,"cosmosGeoPoint":37,"geoPoint":42,"contacts":43},"Ankara University Faculty of Medicine","RECRUITING","Ankara","Turkey (Türkiye)",{"type":38,"coordinates":39},"Point",[40,41],32.85427,39.91987,{"lat":41,"lon":40},[44],{"name":45,"role":46,"phone":47,"phoneExt":26,"email":48},"Fatma Candan Yerebakan Altınışık, M.D.","CONTACT","+905417324291","candanyerebakan@icloud.com",{"type":50,"investigatorFullName":51,"investigatorTitle":52,"investigatorAffiliation":5,"oldNameTitle":26,"oldOrganization":26},"PRINCIPAL_INVESTIGATOR","CIGDEM YILDIRIM GUCLU","Principal Investigator","100644334","timing-of-recruitment-maneuver-in-robotic-prostate-surgery-100644334",false,"NCT07662642","Timing of Recruitment Maneuver in Robotic Prostate Surgery","Comparison of the Effects of Recruitment Maneuver Timing on Postoperative Pulmonary Complications in Patients Undergoing Robotic Prostate Surgery","ROBPROREC1","Inclusion Criteria:\n\n* Patients scheduled for elective robotic prostate surgery\n* Age 18 years or older\n* Body mass index between 18 and 35 kg\u002Fm²\n* No cognitive impairment\n* Ability to provide written informed consent\n\nExclusion Criteria:\n\n* Age younger than 18 years\n* Emergency surgery\n* Preoperative oxygen requirement\n* Cognitive impairment\n* Refusal to participate in the study","MALE","18 Years",{"count":64,"type":65},86,"ESTIMATED","INTERVENTIONAL",[68],"NA","Robotic prostate surgery is commonly performed under general anesthesia with carbon dioxide pneumoperitoneum and steep Trendelenburg positioning. These conditions may reduce lung volumes, impair respiratory mechanics, and increase the risk of atelectasis and postoperative pulmonary complications. Recruitment maneuvers combined with individualized positive end-expiratory pressure may improve intraoperative oxygenation and lung compliance; however, the optimal timing of recruitment maneuver application in robotic prostate surgery remains unclear.\n\nThis prospective randomized study aims to compare the effects of recruitment maneuver timing on postoperative pulmonary complications in adult patients undergoing elective robotic prostate surgery. Participants will be randomized into two groups. In the Supine Recruitment Group, the recruitment maneuver will be performed before carbon dioxide insufflation while the patient is in the supine position, followed by individualized PEEP determination. In the Trendelenburg Recruitment Group, the recruitment maneuver will be performed after pneumoperitoneum and Trendelenburg positioning, followed by individualized PEEP determination. Patients will be evaluated for postoperative pulmonary complications up to postoperative 72 hours or until discharge, whichever occurs first.",[71,72,73,74,75],"Robotic Surgery","Urologic Surgical Procedures","Postoperative Pulmonary Complications (PPCs)","Pulmonary Atelectasis","Postoperative Complications",[77,78,79,80,81,82,83,84],"Robotic prostate surgery","Recruitment maneuver","Pneumoperitoneum","Trendelenburg position","Positive end-expiratory pressure","Atelectasis","Postoperative pulmonary complications","General anesthesia","2026-06-16",{"date":87,"type":88},"2026-06-23","ACTUAL",{"date":90,"type":88},"2026-05-09",{"date":92,"type":65},"2026-07-20",{"name":5,"class":6},1]