Kachur AK, Yaduta RT, Lyadov VK. [Application of the standardized protocol for fast track recovery after lung cancer surgery].
Khirurgiia (Mosk) 2019:58-62. [PMID:
31355816 DOI:
10.17116/hirurgia201907158]
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Abstract
OBJECTIVE
To assess standardized protocol for fast track recovery after lung cancer surgery.
MATERIAL AND METHODS
There were 201 patients. Patients underwent VATS lung resection, VATS lobectomy and various open resections of lungs. Patients had either primary lung cancer or metastatic lung lesion with indications for surgical treatment. Management of patients was divided into 3 periods: preoperative, intraoperative and postoperative. The protocol of fast track recovery was developed considering literature data and own experience. Requirements of this protocol were applied in perioperative management.
RESULTS
Application of the protocol was successful in all patients. Minimum number of complications (6%) and length of postoperative hospital-stay of 4 days were observed after VATS resection of lung. VATS lobectomy was followed by complication rate 25% and postoperative hospital-stay of 6 days. In the group of open resections these values were 29% and 7 days.
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