Key result
Preoperative patient optimisation, including comorbidity management and minimizing fasting, is a key component of enhanced recovery pathways for video-assisted thoracic surgery lobectomy.
Why the study?
Does preoperative patient optimization improve postoperative outcomes in patients undergoing video-assisted thoracic surgery (VATS) lobectomy?
Does preoperative patient optimization improve postoperative outcomes in patients undergoing video-assisted thoracic surgery (VATS) lobectomy?
Preoperative patient optimization is a key component of enhanced recovery pathways for thoracic surgery, particularly VATS lobectomy.
May support preoperative optimization in VATS ERAS pathways; leaves open RCT confirmation of outcome benefits.
Preoperative patient optimisation is a key point of enhanced recovery after thoracic surgery pathways. This could be particularly advantageous when considering video-assisted thoracic surgery (VATS) lobectomy, because reduced trauma related to minimally invasive techniques is one of the main factors favouring improved postoperative outcome. Main specific interventions for clinical optimisation before major lung resection include assessment and treatment of comorbidities, minimizing preoperative hospitalization, optimisation of pharmacological prophylaxis (antibiotic and thromboembolic) and minimizing preoperative fasting. Literature data and clinical evidences in this setting are reported and discussed.
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D’Andrilli et al. (2018) conducted a review in Thoracic surgery (VATS lobectomy). Preoperative patient optimisation was evaluated. Preoperative patient optimisation, including comorbidity management and minimizing fasting, is a key component of enhanced recovery pathways for video-assisted thoracic surgery lobectomy.
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