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,
Год журнала:
2024,
Номер
unknown
Опубликована: Апрель 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.
Язык: 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,
Год журнала:
2024,
Номер
103(50), С. e40913 - e40913
Опубликована: Дек. 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
Язык: Английский