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a conflict-affected region had considerable implications on this study's design and implementation. The trial was registered at [a]www.ClinicalTrials.gov[/a] 6 September 2019 (reg no NCT04078633 ). The trial was registered at [a]www.ClinicalTrials.gov[/a] 6 September 2019 (reg no NCT04078633 ). Thoracic epidural analgesia is considered the gold standard for pain relief in video-assisted thoracoscopic surgery. This neuraxial technique blocks pain sensation by injecting a local anesthetic agent in the epidural space near the spinal cord to block spina