Impact of Surgical Approach on Adaptation of Posture-respiratory Coupling in Resectable Lung Non-Small Cell Carcinoma

What this Trial Is About

Researchers are investigating how different surgical methods used during lobectomies for non-small cell lung cancer affect patients' posture and breathing coordination. The study focuses on comparing traditional thoracotomy with robotic-assisted thoracoscopic surgery (RATS) to understand why minimally invasive techniques might lead to better quality of life and fewer post-operative complications. The trial aims to explore the underlying mechanisms involving the rib cage and diaphragm, which play key roles in both posture stability and breathing function. Participants will undergo either a conventional postero-lateral thoracotomy or a minimally invasive RATS for lung tissue removal. Before and after surgery, patients will receive several assessments including low radiation 2D/3D imaging of the rib cage and spine, movement analysis with an optoelectronic camera, and stabilometric measurements using a strength platform. These procedures will help compare changes in thoracic kyphosis, rib cage structure, and posture-respiratory coupling between the two surgical approaches. Participants will be evaluated one week before surgery and again four weeks after surgery through imaging and movement assessments. Researchers will measure specific outcomes such as spinal alignment angles, rib cage width and volume, and center of pressure displacement to assess postural and respiratory function. The study does not involve masking or randomization, and the total observation period includes pre- and post-operative evaluations to monitor recovery and physiological adaptation related to the surgical technique used.

Impact of Surgical Approach on Adaptation of Posture-respiratory Coupling