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Updated: Dec 31, 2025

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Published on: May 26, 2023
Assessment of preoperative noninvasive ventilation before lung cancer surgery: The preOVNI randomized controlled
Nicolas Paleiron1, Frédéric Grassin2, Christophe Lancelin3
1Respiratory Disease Unit, HIA Sainte Anne, Toulon, France; Département de médecine interne et pneumologie, GETBO EA3878 CIC INSERM 1412, CHU Cavale Blanche, Brest, France.
Objectives:
The preOVNI study was a randomized, controlled, open-label study that investigated whether preoperative noninvasive ventilation (NIV) could reduce postoperative complications after lung cancer surgery.
Methods:
Adult patients with planned lung cancer resection and with at least 1 cardiac or respiratory comorbidity were included and randomly assigned to preoperative NIV (at least 7 days and 4 h/day) or no NIV. The primary endpoint was the rate of postoperative protocol-defined complications.
Results:
Three hundred patients were included. In the NIV group, the median NIV duration was 8 days. No difference of postoperative complication rates was evidenced: 42.6% in NIV group and 44.8% in no-NIV group (P = .75). The rate of pneumonia was greater in no-NIV group compared with the NIV group, but statistical significance was not achieved (28.0 vs 37.7%, respectively; P = .08). The type of surgery (open or minimally invasive) did not impact these results after multivariable analysis.
Conclusions:
No benefit was evidenced for preoperative NIV before lung cancer surgery. Further studies should determine the optimal perioperative management to decrease the rate of postoperative complications.
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