Efficacy of Enhanced Recovery After Surgery Program for Patients Undergoing Lobectomy for Lung Cancer: A Scoping Review and Single-Center Initial Result in Vietnam.

CUREUS JOURNAL OF MEDICAL SCIENCE - Tập 15 Số 8 - Trang e44084 - 2023
Ho Tat Bang1,2, Tran Thi Anh Thu3,4, Vo Hieu Nghia3,5, Tran Khanh Huyen6, Tran Thanh Vy1,7, Nguyen Van Tap8
1Thoracic and Vascular Department, University Medical Center Ho Chi Minh City, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.
2Department of Health Organization and Management, Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.
3Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.
4Department of Health Communication, Medical Center of Binh Thanh District, Ho Chi Minh City, VNM.
5Department of Planning, Dong Thap Center for Disease Control and Prevention, Cao Lanh City, VNM.
6Department of Health Communication, Medical Center of Tan Phu District, Ho Chi Minh City, VNM.
7Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.
8Faculty of Medical Management, Nguyen Tat Thanh University, Ho Chi Minh City, VNM.

Tóm tắt

Surgery for lung cancer can be invasive and the recovery process is often slow with many complications. To address this, the enhanced recovery after surgery (ERAS) program aims to minimize adverse clinical events for surgical patients. This is achieved through a multimodal perioperative care protocol that aims to preserve preoperative organ function and reduce postoperative complications. Initially applied to gastrointestinal surgery, this model has now been expanded to other major surgeries, including lung surgery. Through a review of seven retrospective and prospective cohort observational studies, we have examined the effects of the ERAS program on patients undergoing lobectomy for lung cancer treatment. Our analysis focused on outcomes such as length of stay, re-operation rate, re-admission rate, postoperative mortality, and costs, providing valuable insights into the real clinical practice setting. We also report on some initial results when applying ERAS at University Medical Center Ho Chi Minh City.

Từ khóa

#efficacy #eras #length of stay #lobectomy #lung cancer

Tài liệu tham khảo

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CUREUS JOURNAL OF MEDICAL SCIENCE

Tập 15 Số 8

e44084

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