Open AccessEnhanced recovery after surgery using uniportal video‐assisted thoracic surgery for lung cancer: A preliminary study
Author(s) -
Huang Haitao,
Ma Haitao,
Chen Shaomu
Publication year - 2018
Publication title -
thoracic cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 28
eISSN - 1759-7714
pISSN - 1759-7706
DOI - 10.1111/1759-7714.12541
Subject(s) - medicine , perioperative , surgery , lung cancer , chest tube , blood loss , cardiothoracic surgery , visual analogue scale , lymph , video assisted thoracoscopic surgery , stage (stratigraphy) , anesthesia , pneumothorax , paleontology , psychiatry , biology
Background This study investigated the clinical efficiency of enhanced recovery after surgery ( ERAS ) using uniportal video‐assisted thoracoscopic surgery for lung cancer. Methods The clinical data of 83 patients with early‐stage non‐small cell lung cancer ( NSCLC ) at the F irst A ffiliated H ospital of S oochow U niversity from J anuary 2016 to F ebruary 2017 were retrospectively analyzed. ERAS was applied to 38 patients ( ERAS group), while 45 patients received conventional surgical treatment (control group). The operative duration, number of lymph nodes retrieved, blood loss, visual analogue scale ( VAS ), postoperative duration of chest tube placement, length of hospital stay, and postoperative complications were compared between the groups. Results Surgeries were conducted successfully in all patients, and no mortality occurred during the perioperative period. The ERAS group had better VAS on the third postoperative day, shorter chest tube duration, and shorter length of hospital stay ( P < 0.05). No differences between the groups in terms of operative duration, number of lymph nodes retrieved, blood loss, VAS on the first postoperative day, or complication rate were found ( P > 0.05). Conclusions ERAS using uniportal video‐assisted thoracoscopic surgery for NSCLC patients is safe and practicable, and could also reduce the length of hospital stay.