Condition: Liver Surgery · Pulmonary Complications · Laparoscopic Liver Surgery · Sponsor: Oulu University Hospital
* Background: Postoperative pulmonary complications (PPCs) are the most common complications after major upper abdominal surgery. PPCs include respiratory infections, severe atelectasis, pleural effusion, bronchospasm, aspiration pneumonitis, pneumothorax, exacerbation of chronic pulmonary condition, and respiratory failure. Although PPC rates are higher after open liver surgery, PPCs still occur in approximately 12-13% of patients undergoing laparoscopic liver surgery. Preoperative respiratory physiotherapy education reduces PPCs after open major abdominal surgery and after laparoscopic colorectal surgery. The aim of this study is to investigate the impact of enhanced perioperative pulmonary physiotherapy on the incidence of PPCs after laparoscopic liver surgery. * Methods: A prospective, multicentre, single-blinded, randomized controlled trial will be conducted according to the study protocol at participating centers. A total of 326 patients scheduled for laparoscopic liver surgery will be randomized at a 1:1 ratio into intervention group or standard Enhanced Recovery After Surgery (ERAS) -based perioperative education group. Surgeons/ researchers are blinded to the patient allocation. Patients in the intervention group receive preoperative breathing education in a single session and an educational video to guide pulmonary training at home. Pulmonary training lasts for 7 days prior to surgery and for 7 days postoperatively. The training includes deep breathing, and coughing…
This description comes directly from the study's public registry record.
MInna Nortunen, MD PhD · +358453576898 · minna.nortunen@pohde.fi
Marjo H Koskela, MD PhD · +35883152339 · marjo.h.koskela@pohde.fi
Always discuss trial participation with your own doctor first.
| Kuopio University Hospital | Kuopio, Finland | Not Yet Recruiting |
| Oulu University Hospital | Oulu, Finland | Recruiting |
| Tampere University Hospital | Tampere, Finland | Not Yet Recruiting |
| Linköping University Hospital | Linköping, Sweden | Not Yet Recruiting |
| Skåne University Hospital | Lund, Sweden | Not Yet Recruiting |
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Source record: clinicaltrials.gov/study/NCT07192575