Impact of an enhanced recovery after surgery pathway on thoracoscopic lobectomy outcomes in non-small cell lung cancer patients: a propensity score-matched study.

Details

Serval ID
serval:BIB_CE8DA5ECA070
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Impact of an enhanced recovery after surgery pathway on thoracoscopic lobectomy outcomes in non-small cell lung cancer patients: a propensity score-matched study.
Journal
Translational lung cancer research
Author(s)
Forster C., Doucet V., Perentes J.Y., Abdelnour-Berchtold E., Zellweger M., Faouzi M., Bouchaab H., Peters S., Marcucci C., Krueger T., Rosner L., Gonzalez M.
ISSN
2218-6751 (Print)
ISSN-L
2218-6751
Publication state
Published
Issued date
01/2021
Peer-reviewed
Oui
Volume
10
Number
1
Pages
93-103
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
This study evaluates the effect of enhanced recovery after surgery (ERAS) pathways on postoperative outcomes of non-small cell lung cancer (NSCLC) patients undergoing video-assisted thoracic surgery (VATS) lobectomy.
We retrospectively reviewed all consecutive patients undergoing VATS lobectomy for NSCLC between January 2014 and October 2019 and assigned them to the relevant group ("pre-ERAS" or "ERAS"). Length of stay, readmissions and complications within 30 days were compared between both groups. A propensity score-matched analysis was performed based on sex, age, type of operation, comorbidities, American Society of Anesthesiologists (ASA) score and preoperative pulmonary functions.
A total of 307 records (164 male/143 female; 140 ERAS/167 pre-ERAS; median age: 67) were reviewed. There was no statistical difference in patient's characteristics. Overall ERAS compliance was 81%. The ERAS group presented significantly shorter length of stay (median 5 vs. 7 days; P=0.004) without significant difference in cardiopulmonary complication rate (27.1% vs. 35.9%; P=0.1). Readmission (3.6% vs. 5.4%; P=0.75) and duration of drainage (median 2 vs. 3 days; P=0.14) were similar between groups. The propensity score-matched analysis showed that the length of hospital stay was reduced by 1.4 days (P=0.034) and the postoperative cardiopulmonary complication rate by 13% (P=0.044) in the ERAS group.
Adoption of an ERAS pathway for VATS lobectomies in NSCLC patients has decreased the length of hospital stay and the cardiopulmonary complication rate without affecting the readmission rate.
Keywords
Video-assisted thoracic surgery (VATS), enhanced recovery after surgery (ERAS), lobectomy, non-small cell lung cancer (NSCLC), thoracoscopy
Pubmed
Open Access
Yes
Create date
22/02/2021 10:00
Last modification date
17/04/2021 6:34
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