Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City.

Tat Bang, H ; Thanh Vy, T ; et al.

In: Cureus, Jg. 16 (2024-04-08), Heft 4, S. e57870

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Background: Lobectomy is a standard surgical method in the treatment of early stages of non-small cell lung cancer (NSCLC). The enhanced recovery after surgery (ERAS) program aims to reduce the postoperative length of hospital stay (PLOS) in major surgeries. This study evaluated the impact of the ERAS program on PLOS and identified related factors in patients undergoing lobectomy for NSCLC.

Methods: This prospective observational study was conducted at the University Medical Center Ho Chi Minh City, Vietnam, from February 2022 to December 2023. We included patients diagnosed with NSCLC scheduled for lobectomy. The ERAS protocol was applied according to guidelines from the ERAS Society and the French Society of Anaesthesia and Intensive Care Medicine. We collected data on patient demographics, surgical details, adherence to the ERAS protocol, and postoperative outcomes, including the PLOS.

Results: Among the 98 patients enrolled, the median PLOS after ERAS intervention was 4.1 days (interquartile range: 3.7 to 5.2 days). Adherence to ERAS protocols significantly correlated with reduced PLOS (p<0.001). Notably, smoking status was identified as a related factor of PLOS (p=0.002). Complications (p<0.001), surgical method (p=0.007), operation time (p<0.001), duration of postanesthesia care unit (p=0.006), duration of thoracic drainage (p<0.001), and urinary catheter retention time (p=0.023) were also associated with PLOS variations.

Conclusion: Implementing the ERAS program in patients undergoing lobectomy for NSCLC at our center reduced PLOS and highlighted the importance of protocol adherence for optimizing surgical outcomes. These findings supported the broader adoption of ERAS protocols in thoracic surgery to enhance patient recovery. Future research should focus on multi-center studies to generalize these results and further dissect the impact of individual ERAS components.

Competing Interests: The authors have declared that no competing interests exist.

Titel:	Initial Results of the Enhanced Recovery After Surgery (ERAS) Program in Patients Undergoing Lobectomy in the Treatment of Lung Cancer: An Experience From the University Medical Center Ho Chi Minh City.
Autor/in / Beteiligte Person:	Tat Bang, H ; Thanh Vy, T ; Tap, NV
Link:	Zum Volltext
Zeitschrift:	Cureus, Jg. 16 (2024-04-08), Heft 4, S. e57870
Veröffentlichung:	Palo Alto, CA : Cureus, Inc., 2024
Medientyp:	academicJournal
ISSN:	2168-8184 (print)
DOI:	10.7759/cureus.57870
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Journal Article Language: English [Cureus] 2024 Apr 08; Vol. 16 (4), pp. e57870. <i>Date of Electronic Publication: </i>2024 Apr 08 (<i>Print Publication: </i>2024). References: Aging Clin Exp Res. 2018 Mar;30(3):249-252. (PMID: 29453605) ; J Thorac Dis. 2023 Apr 28;15(4):1785-1793. (PMID: 37197503) ; Ann Oncol. 2017 Jul 1;28(suppl_4):iv1-iv21. (PMID: 28881918) ; Cureus. 2023 Nov 14;15(11):e48795. (PMID: 38024087) ; J Cardiothorac Vasc Anesth. 2020 Jul;34(7):1858-1866. (PMID: 32139340) ; J Natl Compr Canc Netw. 2015 Feb;13(2):162-4. (PMID: 25691607) ; Eur J Cardiothorac Surg. 2019 Jan 1;55(1):91-115. (PMID: 30304509) ; Cureus. 2024 Feb 22;16(2):e54724. (PMID: 38405655) ; Surgery. 2015 Oct;158(4):899-908; discussion 908-10. (PMID: 26189953) ; Anaesth Crit Care Pain Med. 2021 Feb;40(1):100791. (PMID: 33451912) ; Asian Pac J Cancer Prev. 2016;17(9):4421-4426. (PMID: 27797255) ; Cureus. 2023 Aug 25;15(8):e44084. (PMID: 37753048) ; Cureus. 2023 Oct 17;15(10):e47237. (PMID: 38022245) ; Open Med (Wars). 2020 Mar 19;15:198-203. (PMID: 32258415) ; Medicine (Baltimore). 2024 Feb 9;103(6):e36929. (PMID: 38335409) ; Thorac Cancer. 2021 Dec;12(23):3255-3262. (PMID: 34693656) ; Cureus. 2023 Jul 12;15(7):e41755. (PMID: 37575751) ; J Natl Compr Canc Netw. 2022 May;20(5):497-530. (PMID: 35545176) ; J Thorac Cardiovasc Surg. 2018 Apr;155(4):1843-1852. (PMID: 29352586) Contributed Indexing: Keywords: enhanced recovery after surgery (eras); length of hospital stay (los); lobectomy; lung cancer; postoperative recovery Entry Date(s): Date Created: 20240510 Latest Revision: 20240511 Update Code: 20240511 PubMed Central ID: PMC11079717

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