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Fast-track surgery in single-hole thoracoscopic radical resection of lung cancer
Yongkai Wu1, Min Xu, Yegang Ma
1Department of Thoracic Surgery, Liaoning Cancer Hospital & Institute, Cancer Hospital of China Medical University, Shenyang 110042, China.
Purpose:
To explore the efficacy and safety of fast-track surgery (FTS) in the perioperative period of single-hole thoracoscopic radical resection of lung cancer.
Methods:
The clinical data of 152 lung cancer patients undergoing single-hole thoracoscopic radical resection of lung cancer in our hospital from October 2016 to March 2019 were collected. Among them, 76 patients were treated with perioperative FTS (FTS group) following in-depth information and education, effective analgesia, early ambulation and early extubation, while the other 76 patients received conventional perioperative treatments (Control group).
Results:
The intraoperative volumes of blood loss and fluid infusion in FTS group were smaller than those in Control group. Moreover, the mean time to postoperative drainage tube removal, time to the first postoperative ambulation and length of postoperative hospital stay in FTS group were substantially shorter than those in Control group. Moreover, the visual analog scale (VAS) scores of patients at 48 and 72 h after operation in FTS group were considerably lower than those in Control group. Besides, the total incidence rate of postoperative complications in FTS group was considerably lower than that in Control group. Compared with those before operation, all pulmonary function indicators declined substantially after operation, and the postoperative forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and maximum voluntary ventilation (MVV) in FTS group were remarkably higher than those in Control group.
Conclusion:
FTS in the perioperative period of single-hole thoracoscopic radical resection of lung cancer can effectively accelerate the recovery of patients, alleviate their pain, shorten the length of hospital stay, reduce hospitalization expense and improve patient's satisfaction, so it is worth clinically applying.
