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

Cureus, Journal Year: 2024, Volume and Issue: unknown

Published: April 8, 2024

Background: Lobectomy is a standard surgical method in the treatment of early stages non-small cell lung cancer (NSCLC). The enhanced recovery after surgery (ERAS) program aims to reduce postoperative length hospital stay (PLOS) major surgeries. This study evaluated impact ERAS on PLOS and identified related factors patients undergoing lobectomy for NSCLC. Methods: prospective observational was conducted at University Medical Center Ho Chi Minh City, Vietnam, from February 2022 December 2023. We included diagnosed with NSCLC scheduled lobectomy. protocol applied according guidelines Society French Anaesthesia Intensive Care Medicine. collected data patient demographics, details, adherence protocol, outcomes, including PLOS. Results: Among 98 enrolled, median intervention 4.1 days (interquartile range: 3.7 5.2 days). Adherence protocols significantly correlated reduced (p<0.001). Notably, smoking status as factor (p=0.002). Complications (p<0.001), (p=0.007), operation time duration postanesthesia care unit (p=0.006), thoracic drainage urinary catheter retention (p=0.023) were also associated variations. Conclusion: Implementing our center highlighted importance optimizing outcomes. These findings supported broader adoption enhance recovery. Future research should focus multi-center studies generalize these results further dissect individual components.

Language: Английский

Enhanced recovery after surgery pathway reduces back pain, hospitalization costs, length of stay, and satisfaction rate of lumbar tubular microdiscectomy: A retrospective cohort study

Medicine, Journal Year: 2024, Volume and Issue: 103(50), P. e40913 - e40913

Published: Dec. 13, 2024

Tubular microdiscectomy is one of the most commonly performed surgical procedures for lumbar disc herniation (LDH). This study aimed to investigate effectiveness enhanced recovery after surgery (ERAS) pathway in improving perioperative clinical outcomes patients with LDH. retrospectively analyzed prospectively collected pre-ERAS (January 2020 December 2021) and post-ERAS 2022 September 2023) groups. Length stay was primary outcome measure, while secondary measures included operative time, estimated blood loss (EBL), postoperative first ambulation drainage volume, tube removal complication rate, hospitalization cost, visual analog scale (VAS) scores leg pain low back (LBP), readmission rate within 30 days, patient satisfaction rate. No significant differences baseline parameters, including sex, age, body mass index, preoperative VAS LBP, comorbidities, were observed between Additionally, rates, 30-day rates did not differ significantly However, group exhibited lower length compared (5.1 ± 1.2 vs 6.2 1.6, P < .001). ( .001), time volume = .002), costs .032) group. Furthermore, LBP score on day .001) third days .002) postoperatively group, whereas .036) higher Compared conventional pathway, ERAS tubular associated better

Language: Английский