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Enhanced Recovery After Surgery In Minimal Thoracic Surgery: The Magic Combo
Konstantina Triantafyllopoulou, Kosmas Tsakiridis;
European Interbalkan Medical Center, Thessaloniki, Greece
BACKGROUND: Enhanced Recovery After Surgery (ERAS) protocol is an evidence-based interdisciplinary, patient centered healthcare pathway, that encompass preoperative, intraoperative, and postoperative healthcare steps, in order to improve patients’ outcome. The implementation of this protocol in Minimal Invasive Thoracic Surgery has an impact in reducing hospital length of stay (LOS) and postoperative complication rates, while patient experience reduction of physiologic stress, and early return to normal function.
METHODS: This is a retrospective analysis of three hundred patients who underwent minimal invasive thoracic surgery for lobectomy or bilobectomy by our surgical team, from January 2019 until December 2023. We analyzed demographic data and patients’ characteristics with the implementation of ERAS protocol (adjusted in localized practice). The primary outcomes were mortality and hospital length of stay. Secondary outcomes were readmission rate and admission in Intensive Care Unit.
RESULTS: Three hundred patients with mean age 66,83 years underwent video and robotic assisted lobectomy and Bilobectomy. The percentage of lung malignancies was 99% and the in-hospital and 30-day mortality percentage was zero. The mean hospital length of stay was 3,41 (± 2,27) and the readmission rate was less than 1%. There was also an observed significant decrease in opioid medication doses.
CONCLUSIONS: The implementation of Enhanced Recovery After Surgery Protocol in Minimal Thoracic Surgery, even adjusted to local practice, offers the optimal treatment to the patient. Early discharge, eliminated mortality and readmission rate and improved patient satisfaction are only some of the benefits.
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