Robots vs cameras: which surgery wins for lung cancer?
NCT ID NCT06524427
First seen Jun 26, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study compares two types of minimally invasive surgery for early-stage non-small cell lung cancer: robot-assisted lobectomy (using the Da Vinci system) and video-assisted lobectomy. Over 1,100 participants will be randomly assigned to one of the two procedures. The main goal is to see if robot surgery is at least as good as video surgery in terms of 5-year survival without cancer returning.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Robot-assisted lobectomy using Da Vinci surgical system
- What this could lead to
- If robot-assisted surgery proves better or equal to video-assisted surgery, it could become a preferred option for early-stage lung cancer, potentially improving long-term survival and recovery.
- What could go wrong
- This is a non-inferiority trial, meaning it aims to show robot surgery is not worse than video surgery, not necessarily better. Results may show no significant advantage, and the study is still recruiting, so outcomes are years away.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 1,124 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Aug 2020
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 80 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age from 18 to 80 years old; 2. Patients with blood pressure\<160/100mmHg, 5.6\<blood glucose\<11.2mmol/L, major organs function normally: (1) Goldman index between grade 1 and 2; (2) Predicted forced expiratory volume in 1s (FEV1) \>= 40 % and diffusing capacity of the lung for carbon monoxide (DLCO) \>= 40 %; (3) total bilirubin \<= 1.5 upper limit of normal; (4) Alanine aminotransferase (ALT)/Aspartate aminotransferase (AST) \<= 2.5 upper limit of normal; (5) creatinine \<= 1.25 upper limit of normal and creatinine clearance rate (CCr) \>= 60ml/min; 3. The first clinical diagnosis before surgery was non-small cell lung cancer, including adenocarcinoma, squamous cell carcinoma, large cell carcinoma, and other unknown types; 4. Clinical stage T1-2N0-1 (cI-II): Maximum diameter of tumor \<= 5cm and short diameter of mediastinal lymph node \<= 1cm in thin layer CT; 5. Performance status of Eastern Cooperative Oncology Group (ECOG) 0-1; 6. All relevant examinations were completed within 28 days before the operation; 7. Patients who understand this study and have signed an approved Informed Consent. Exclusion Criteria: 1. Patients with radiotherapy, chemotherapy, targeted therapy, or immunotherapy before surgery. 2. Patients with the previous history of other malignancies; 3. Patients with secondary primary cancer when enrolled; 4. Patients diagnosed as pure ground glass opacity (GGO) before surgery; 5. Patients diagnosed as mixed GGO whose solid part \<= 50% and Maximum diameter of tumor \<= 2cm; 6. Patients with small cell lung cancer; 7. Patients with prior unilateral open thoracic surgical procedures; 8. Woman who is pregnant or breastfeeding; 9. Patients with interstitial pneumonia, pulmonary fibrosis, or severe emphysema; 10. Patients with an active bacterial or fungal infection that is difficult to control; 11. Patients with serious psychosis; 12. Patients with a history of severe heart attack, heart failure, myocardial infarction, or angina within the last 6 months.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
23 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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First Affiliated Hospital of Chongqing Medical University
RECRUITINGChongqing, Chongqing Municipality, 400014, China
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Gansu Provincial Hospital
RECRUITINGLanzhou, Gansu, 730000, China
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Guangdong Provincial People's Hospital
RECRUITINGGuangzhou, Guangdong, 510080, China
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Guangxi Nanxishan Hospital
RECRUITINGGuilin, Guangxi, 541002, China
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Jiangsu Cancer Institute & Hospital
RECRUITINGNanjing, Jiangsu, 210009, China
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Jiangxi Provincial People's Hopital
RECRUITINGNanchang, Jiangxi, 330006, China
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Liaoning Tumor Hospital & Institute
RECRUITINGShenyang, Liaoning, 110042, China
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Qianfoshan Hospital
RECRUITINGJinan, Shandong, 250014, China
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Qilu Hospital of Shandong University
RECRUITINGJinan, Shandong, 250012, China
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Shandong Provincial Hospital
RECRUITINGJinan, Shandong, 250022, China
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Shenzhen People's Hospital
RECRUITINGShenzhen, Guangdong, 518020, China
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Shenzhen Third People's Hospital
RECRUITINGShenzhen, Guangdong, 518112, China
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Sichuan Cancer Hospital and Research Institute
RECRUITINGChengdu, Sichuan, 610041, China
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Sun Yat-sen University Cancer Center
RECRUITINGGuangzhou, Guangdong, 510060, China
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Tang-Du Hospital
RECRUITINGXi'an, Shaanxi, 710038, China
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The Affiliated Hospital of Qingdao University
RECRUITINGQingdao, Shandong, 266003, China
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The First Affiliated Hospital of Nanchang University
RECRUITINGNanchang, Jiangxi, 330006, China
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The First Affiliated Hospital of Zhengzhou University
RECRUITINGZhengzhou, Henan, 450052, China
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The General Hospital of Eastern Theater Command
RECRUITINGNanjing, Jiangsu, 210002, China
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The Second Hospital of Lanzhou University
RECRUITINGLanzhou, Gansu, 730030, China
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West China Hospital
RECRUITINGChengdu, Sichuan, 610041, China
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Wuhan TongJi Hospital
RECRUITINGWuhan, Hubei, 430030, China
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Wuhan Union Hospital
RECRUITINGWuhan, Hubei, 430022, China
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