BƯỚC ĐẦU ĐÁNH GIÁ HIỆU QUẢ CỦA CÁC CAN THIỆP THEO HƯỚNG DẪN ERAS TRONG CẮT THÙY PHỔI NỘI SOI TẠI BỆNH VIỆN K TRUNG ƯƠNG

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.