Abstract

Due to the high lung cancer morbidity and the need for surgical intervention in that patient population, introduction of the concept of standard protocol for enhanced recovery after surgery (ERAS) may lead to a significant decrease of the rate of postoperative complications and hospital stay. The aim of the review was to assess the main components of ERAS protocol in thoracic cancer surgery using video-assisted thoracoscopic interventions (VATS). Systematic implementation of specific measures in pre- (patient consulting before the intervention, compliance with fluid and nutrition regimen, exclusion of routine sedation, prophylaxis of venous thrombosis, use of intravenous antibiotics and alcohol skin-prepping solution with chlorohexidine), intra- (prevention of hypothermia, thoracoscopic approach, single-tube approach in anatomic lung resections, exclusion of pleural tube insertion, urethral catheterization for less than 2 hours and only in case of epidural anesthesia) and postoperative (early mobilization and cessation of intravenous infusion, pain control using combination of acetaminophen with NSAIDs, maintenance of normovolemy, use of balanced crystalloid solutions and non-pharmacological measures for nausea and vomiting control) periods promote improved outcomes, decrease of postoperative complication rate and postoperative mortality

Highlights

  • Research and Practical Medicine Journal 2021, v.8, No3, p. 70-83 А.К.Каchur, V.К.Lyadov / Key components of enhanced recovery after surgery protocol in lung cancer surgery

  • The aim of the review was to assess the main components of enhanced recovery after surgery (ERAS) protocol in thoracic cancer surgery using video-a­ ssisted thoracoscopic interventions (VATS)

  • Fluid management during video-assisted thoracoscopic surgery for lung resection: a randomized, controlled trial of effects on urinary output and postoperative renal function

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Summary

RESEARCH AND PRACTICAL MEDICINE JOURNAL

ОСНОВНЫЕ КОМПОНЕНТЫ ПРОТОКОЛА УСКОРЕННОГО ВЫЗДОРОВЛЕНИЯ В ХИРУРГИИ ОПУХОЛЕЙ ЛЕГКОГО. 1. 1. Клиническая больница No1 «Медси», 143442, Российская Федерация, г.о. ГБУЗ «Городская клиническая онкологическая больница No1 ДЗМ», 105005, Российская Федерация, г. В связи с высокой заболеваемостью раком легкого и необходимостью хирургического лечения данной категории пациентов, внедрение концепции стандартизированного протокола ускоренного выздоровления может позволить добиться снижения количества осложнений после операций и сокращения сроков госпитализации. Целью данного обзора литературы явилось изучение основных компонентов протокола ускоренного выздоровления в торакальной онкохирургии при проведении ­видео-­торакоскопических вмешательств. Основные компоненты протокола ускоренного выздоровления в хирургии опухолей легкого. 1. «Medsi» Сlinical Hospital No 1, 2/1 Otradnoye village, Krasnogorsk district 143442, Russian Federation 2. City Clinical Oncological Hospital No 1 of the Moscow Department of Health, 17/1 Baumanskaya str., Moscow 105005, Russian Federation 3. Russian Medical Academy of Continuing Professional Education of the Ministry of Health of the Russian Federation, 2/1/1 Barricadnaya str., Moscow

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