INITIAL EVALUATION OF THE EFFECTIVENESS OF INTERVENTIONS UNDER THE GUIDELINES OF THE ERAS IN VIDEO-ASSISTED THORACIC LOBECTOMY SURGERY AT VIETNAM NATIONAL CANCER HOSPITAL

Hải Yến Nguyễn1, Toàn Thắng Nguyễn2,
1 National cancer hospital
2 Hanoi medical university

Main Article Content

Abstract

Objectives: To evaluate the compliance and effectiveness of interventions under the guidelines of the Enhanced Recovery After Surgery (ERAS) in video-assisted thoracic lobectomy surgery at Vietnam National Cancer Hospital. Subjects and methods: We established an ERAS protocol consisting of 20 interventions and performed on 32 patients undergoing video-assisted thoracic lobectomy surgery at Vietnam National Cancer Hospital from April 2022 to August 2022. We evaluated protocol compliance and its effect on treatment outcomes by length of hospital stay and postoperative complication rates. Results: The overall compliance rate for the interventions was 74.9%. In which, each intervention has a different compliance rate. The high compliance group (≥ 75% interventions) had a shorter hospital stay time after surgery (6.93 ± 1.43 days) than the low compliance group (<75% intervention) (11.41 ± 3.66 days), (p<0.01). The more ERAS interventions performed, the lower the number of postoperative hospital stay days. Applying the ERAS strategy has the rate of postoperative complications of 12.5%. Conclusions: The overall compliance of ERAS was 74.9%, high compliance is associated with reduced postoperative hospital stay time and complication rates in patients undergoing video-assisted thoracic lobectomy surgery.

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References

1. Fearon KCH, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection. Clin Nutr Edinb Scotl. 2005;24(3):466-477. doi:10.1016/ j.clnu.2005.02.002
2. Fiore JF, Bejjani J, Conrad K, et al. Systematic review of the influence of enhanced recovery pathways in elective lung resection. J Thorac Cardiovasc Surg. 2016;151(3):708-715.e6. doi:10.1016/ j.jtcvs.2015.09.112
3. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERAS®) Society and the European Society of Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg. 2019;55(1):91-115. doi:10.1093/ejcts/ezy301
4. Rogers LJ, Bleetman D, Messenger DE, et al. The impact of enhanced recovery after surgery (ERAS) protocol compliance on morbidity from resection for primary lung cancer. J Thorac Cardiovasc Surg. 2018;155(4):1843-1852. doi:10.1016/j.jtcvs.2017.10.151
5. Nguyễn Văn Lợi. Ứng dụng phẫu thuật nội soi lồng ngực trong điều trị ung thư phổi không tế bào nhỏ giai đoạn I đến IIA [Luận án tiến sỹ y học], Đại học Y Hà Nội; 2021
6. Falcoz PE, Puyraveau M, Thomas PA, et al. Video-assisted thoracoscopic surgery versus open lobectomy for primary non-small-cell lung cancer: a propensity-matched analysis of outcome from the European Society of Thoracic Surgeon database. Eur J Cardio-Thorac Surg Off J Eur Assoc Cardio-Thorac Surg. 2016;49(2):602-609. doi:10.1093/ejcts/ezv154
7. Yamamoto K, Ohsumi A, Kojima F, et al. Long-term survival after video-assisted thoracic surgery lobectomy for primary lung cancer. Ann Thorac Surg. 2010; 89(2): 353-359. doi: 10.1016/ j.athoracsur. 2009. 10. 034
8. Data from The Society of Thoracic Surgeons General Thoracic Surgery database: the surgical management of primary lung tumors. https://read.qxmd.com/read/18242243/data-from-the-society-of-thoracic-surgeons-general-thoracic-surgery-database-the-surgical-management-of-primary-lung-tumors. Accessed September 12, 2022.