[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"thoracotomy\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:thoracotomy":29},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,5,0,[8,43,65,97,121],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"100625592","interscalene-block-versus-anterior-suprascapular-block-for-post-thoracotomy-shoulder-pain-100625592",false,"NCT07424638","Interscalene Block Versus Anterior Suprascapular Block for Post-Thoracotomy Shoulder Pain","Interscalene Block Versus Anterior Suprascapular Block for Post-Thoracotomy Shoulder Pain: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Age \\> 18 years and ≤ 65 years old.\n* American Society of Anesthesiologists (ASA) physical status II-III.\n* Body mass index 18-35 kg\u002Fm2.\n* Patients who have a confirmed diagnosis of lung cancer and are scheduled for elective open-lung surgery.\n\nExclusion Criteria:\n\n* Allergy to local anesthetics.\n* Known psychiatric or neurologic disorders.\n* Alcohol or narcotics abuse.\n* Contraindications to thoracic epidural or suprascapular block, or interscalene block, e.g., coagulopathy or local infection.\n* Pre-existing shoulder symptoms.\n* History of previous thoracotomy.\n* Severe restrictive or obstructive pulmonary disease.\n* Pre-existing contralateral diaphragmatic paralysis.","ALL","18 Years","65 Years",{"count":20,"type":21},75,"ESTIMATED","INTERVENTIONAL",[24],"NA","This study aims to compare the frequency of occurrence of ipsilateral shoulder pain in patients undergoing thoracotomy with ultrasound-guided interscalene block, anterior suprascapular block as adjunct to epidural and epidural block only.",[27,28,29,30],"Interscalene Block","Anterior Suprascapular Block","Thoracotomy","Shoulder Pain","RECRUITING","2026-02-21",{"date":34,"type":35},"2026-02-24","ACTUAL",{"date":32,"type":35},{"date":38,"type":21},"2026-07-30",{"name":40,"class":41},"National Cancer Institute, Egypt","OTHER",1,{"id":44,"slug":45,"hasResults":11,"nctId":46,"briefTitle":47,"officialTitle":48,"acronym":4,"eligibilityCriteria":49,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":50,"targetDuration":4,"studyType":22,"phases":52,"briefSummary":53,"conditions":54,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":58,"lastUpdatePostDateStruct":59,"startDateStruct":61,"completionDateStruct":62,"leadSponsor":64,"locationsCount":42},"100621204","costotransverse-foramen-block-versus-thoracic-paravertebral-block-in-thoracotomy-for-lung-cancer-100621204","NCT07367581","Costotransverse Foramen Block Versus Thoracic Paravertebral Block in Thoracotomy for Lung Cancer","Costotransverse Foramen Block Versus Thoracic Paravertebral Block in Thoracotomy for Lung Cancer: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Age \\> 18 years and ≤ 65 years old.\n* American Society of Anesthesiologists (ASA) physical status II-III.\n* Body mass index 18-35 kg\u002Fm2.\n* Patients scheduled for thoracotomies for lung cancer.\n\nExclusion Criteria:\n\n* Patient refusal.\n* History of sensitivity to local anesthetics.\n* History of psychological disorders.\n* Contraindication to regional anesthesia, e.g., local sepsis, pre-existing peripheral neuropathies, and coagulopathy.\n* Severe respiratory, cardiac, hepatic, or renal disease.\n* Morbid obesity.\n* Uncooperative patients.\n* Patients on chronic pain therapy.",{"count":51,"type":21},70,[24],"This study aims to compare the costotransverse foramen block (CTFB) with thoracic paravertebral block (TPVB) in patients undergoing thoracotomy for lung cancer.",[55,56,29,57],"Costotransverse Foramen Block","Thoracic Paravertebral Block","Lung Cancer","2026-01-24",{"date":60,"type":35},"2026-01-27",{"date":58,"type":35},{"date":63,"type":21},"2026-06-01",{"name":40,"class":41},{"id":66,"slug":67,"hasResults":11,"nctId":68,"briefTitle":69,"officialTitle":70,"acronym":4,"eligibilityCriteria":71,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":72,"targetDuration":4,"studyType":74,"phases":4,"briefSummary":75,"conditions":76,"keywords":81,"overallStatus":86,"whyStopped":4,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":90,"completionDateStruct":92,"leadSponsor":94,"locationsCount":42},"100618302","opioid-consumption-after-thoracotomy-and-factors-affecting-postoperative-acute-pain-100618302","NCT07329855","Opioid Consumption After Thoracotomy and Factors Affecting Postoperative Acute Pain","Analysis of Opioid Consumption After Thoracotomy and Factors Affecting Postoperative Acute Pain","Inclusion Criteria:\n\n* Patients aged over 18 years\n* Patients scheduled for thoracotomy\n* Patients with an American Society of Anesthesiologists (ASA) physical status classification of I-III\n* Patients who have provided informed consent\n* Patients with a body mass index (BMI) between 18-40 kg\u002Fm²\n\nExclusion Criteria:\n\n* Patients with ASA class IV or higher\n* Patients younger than 18 years old\n* Patients with systemic inflammatory disease\n* Patients receiving continuous anti-inflammatory and\u002For analgesic medication\n* Patients with chronic preoperative pain\n* Pregnant patients\n* Outpatients who received anesthesia outside the operating room\n* Emergency cases\n* Patients who underwent VATS, sternotomy, mediastinoscopy, or tracheal resection\n* Patients with a history of previous thoracic surgery\n* Patients who had a thoracic epidural catheter inserted for postoperative pain management\n* Patients with a BMI \\\u003C18 or \\>40 kg\u002Fm²",{"count":73,"type":21},35,"OBSERVATIONAL","Thoracic surgery operations constitute a significant portion of surgical procedures performed in hospitals. In the United States, more than 50,000 thoracic surgical procedures are performed annually, and more than 80% of these patients experience moderate to severe postoperative pain requiring opioid administration, which increases the risk of complications . It has also been reported that chronic pain develops in approximately 50% of patients after thoracic surgery .\n\nThoracic surgery is commonly associated with severe, multifactorial pain during the postoperative period and is among the surgical branches with a high risk of developing chronic pain Despite advances in understanding postoperative pain mechanisms and improvements in pain management, inadequate postoperative pain control remains an unresolved healthcare problem. Higher acute pain scores are associated with less effective ventilation and coughing, increased incidence of lower respiratory tract infections, and prolonged ICU and hospital stays .\n\nIn the management of acute postoperative pain after thoracic surgery, clinicians have sought alternatives to thoracic epidural analgesia to avoid its potential adverse effects. Truncal blocks such as thoracic paravertebral block, erector spinae plane block, and serratus anterior block have been used to reduce postoperative pain . Additionally, various other analgesic techniques such as patient-controlled analgesia (PCA) and multimodal analgesia have been employed. Historically, the cornerstone of acute postoperative pain control has been systemic opioids administered via oral, intravenous, or thoracic epidural routes . Although opioids provide excellent pain relief, they are associated with significant side effects that can adversely affect recovery .\n\nWith the increasing use of ultrasonography (USG), truncal blocks have become more widespread. Alongside the development of Enhanced Recovery After Thoracic Surgery (ERATS) protocols, efforts have been made to reduce opioid use, leading to differing opinions regarding the management of acute pain after thoracic surgery. To prevent opioid use disorder and potential side effects, opioid-free or opioid-sparing approaches are now being encouraged in perioperative pain management . Conversely, some studies suggest that intraoperative opioid administration may have favorable effects on postoperative acute and chronic pain. Previous research has reported that the average daily opioid consumption after thoracic surgery is approximately 30 morphine milligram equivalents (MME) .\n\nAlthough video-assisted thoracoscopic surgery (VATS) has become more common, thoracotomy cases still constitute a large proportion of thoracic surgery procedures. Moreover, severe postoperative pain after thoracic surgery is most commonly associated with the thoracotomy incision itself. While some studies have suggested that new truncal block techniques may provide effective analgesia and reduce opioid consumption after thoracotomy, further studies are needed to determine which blocks are most commonly preferred and how opioid consumption patterns have changed with the adoption of these newer regional techniques.\n\nA review of the current literature reveals that the factors influencing acute pain after thoracotomy have not been sufficiently evaluated. Therefore, a re-evaluation of the factors affecting acute pain following thoracotomy, considering recent developments in pain management, is necessary. Furthermore, examining the relationship between perioperative opioid consumption, postoperative complications, and hospital length of stay in this patient population will provide valuable contributions to the literature.\n\nThe aim of this study is to evaluate the amount of opioid consumption following thoracotomy and to investigate whether perioperative opioid use affects acute pain, postoperative complications, and the length of hospital stay.",[77,29,78,79,80],"Thoracic Anesthesia","Opioid","Postoperative Pain Management","Length of Hospital Stay",[29,82,83,84,85],"opioid consumption","postoperative acute pain","postoperative complications","length of hospital stay","NOT_YET_RECRUITING","2026-01-09",{"date":89,"type":35},"2026-01-12",{"date":91,"type":21},"2026-01-05",{"date":93,"type":21},"2026-05-05",{"name":95,"class":96},"Ankara Ataturk Sanatorium Training and Research Hospital","OTHER_GOV",{"id":98,"slug":99,"hasResults":11,"nctId":100,"briefTitle":101,"officialTitle":102,"acronym":4,"eligibilityCriteria":103,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":104,"enrollmentInfo":105,"targetDuration":4,"studyType":22,"phases":107,"briefSummary":108,"conditions":109,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":113,"lastUpdatePostDateStruct":114,"startDateStruct":116,"completionDateStruct":117,"leadSponsor":119,"locationsCount":42},"100587576","awake-thoracic-epidural-anesthesia-versus-general-anesthesia-in-thoracotomy-100587576","NCT06930183","Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy","Awake Thoracic Epidural Anesthesia Versus General Anesthesia in Thoracotomy: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Age from 18 to 75 years old.\n* Both genders.\n* American Society of Anesthesiologists (ASA) physical status classification II or III.\n* Scheduled for thoracotomy.\n\nExclusion Criteria:\n\n* Difficult airway management,\n* Hemodynamically unstable patients, obesity (body mass index \\>30).\n* Absolute contraindication to thoracic epidural anesthesia such as (patient refusal, allergy to local anesthetics, coagulopathy, active neurologic disorders, skin infection at insertion site, uncooperative patients, uncontrolled cough, and unfavorable anatomy for thoracic epidural).\n* Neurological disorders: risk of seizure, unable to cooperate, intracranial mass or brain edema, extensive pleural adhesions or previous pulmonary resections, hypoxemia (PaO2 \\\u003C60) or hypercarbia (PaCO2 \\>50)\n* Poor cardiac function (ejection fraction less than 50%).\n* Patients with bad pulmonary function tests.","75 Years",{"count":106,"type":21},50,[24],"This study aims to compare awake thoracic epidural anesthesia and general anesthesia in thoracotomy.",[110,111,112,29],"Awake","Thoracic Epidural Anesthesia","General Anesthesia","2025-04-16",{"date":115,"type":35},"2025-04-17",{"date":113,"type":35},{"date":118,"type":21},"2025-10-01",{"name":120,"class":41},"Cairo University",{"id":122,"slug":123,"hasResults":11,"nctId":124,"briefTitle":125,"officialTitle":126,"acronym":127,"eligibilityCriteria":128,"healthyVolunteers":11,"sex":16,"minAge":4,"maxAge":4,"enrollmentInfo":129,"targetDuration":131,"studyType":74,"phases":4,"briefSummary":132,"conditions":133,"keywords":138,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":142,"lastUpdatePostDateStruct":143,"startDateStruct":145,"completionDateStruct":147,"leadSponsor":149,"locationsCount":42},"100485399","registry-of-the-spanish-society-of-thoracic-surgery-100485399","NCT05600569","Registry of the Spanish Society of Thoracic Surgery","Registry of the Spanish Society of Thoracic Surgery (ReSECT)","ReSECT","The inclusion criteria will depend on the section of the registry to be considered.\n\n* Personal registry: patients undergoing any type of surgical intervention.\n* Registry of surgical processes by departments: patients undergoing an anatomical pulmonary resection as the first process to be implemented at the time ReSECT is to be established.\n\nExclusion Criteria:\n\n* Patients who could reject to participate in this study.",{"count":130,"type":21},30000,"5 Years","ReSECT is a project promoted by the Spanish Society of Thoracic Surgery with the aim not only to become an indefinite, dynamic and inclusive registry, but also to establish a common structural framework for the development of future multicentre projects in the field of thoracic surgery in Spain.\n\nThe goal of this nationwide prospective observational registry is:\n\n* To develop and validate forecasting tools based on powerful computational methods with the goal of assisting in decision-making and improving quality of care.\n* To evaluate the progressive implementation of certain surgical techniques that are on the rise, new technologies and future health programs.\n* To be aware of our results as specialty and professionals and to serve as a permanent benchmarking instrument in thoracic surgery.\n\nThe first part of ReSECT, based on a personal registry design, will contemplate any thoracic surgical procedure performed by thoracic surgeons and residents in thoracic surgery in our country. Additionally, the Spanish thoracic surgery departments that voluntarily accept to collectively participate will contribute to specific surgical processes focused on certain procedures with specific objectives to be progressively implemented.\n\nThe first and only surgical process implemented since the start of the ReSECT project will focus on patients to undergo anatomical lung resection with special interest in those cases whose reason for intervention was lung cancer.\n\nThe main questions to answer in case of that first surgical process include:\n\n* What is the performance of current predictive models for perioperative and oncological outcomes in our country?\n* How could we modify previous predictive models to improve their performance?\n* What is the implementation of current guideline recommendations in our country and across institutions?\n* What is the potential impact of deviations from current recommendations?\n* What is my performance compared to the rest of the thoracic surgical departments in my country in terms of perioperative and oncological outcomes?\n\nReSECT does not consider prespecified comparison groups of patients.",[134,135,136,29,137],"Pulmonary Surgical Procedures","Thoracic Surgery, Video-assisted","Robotic Surgical Procedures","Lung Neoplasm",[139,140,141],"Pneumonectomy","Lobectomy","Segmentectomy","2023-10-18",{"date":144,"type":35},"2023-10-19",{"date":146,"type":35},"2023-01-01",{"date":148,"type":21},"2032-12-31",{"name":150,"class":41},"Sociedad Española de Cirugía Torácica"]