[Extended length of stay following robot-assisted minimally invasive pulmonary lobectomy: Is incomplete ERAS protocol to blame?]

IF 0.5 4区 医学 Q4 RESPIRATORY SYSTEM Revue des maladies respiratoires Pub Date : 2024-11-01 Epub Date: 2024-10-18 DOI:10.1016/j.rmr.2024.07.001
B Zayene, C Rivera, M Mallet, A Falchetti, F Mazeres
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Abstract

Enhanced Recovery After Surgery (ERAS) is a series of measures designed to promote early recovery after surgery. Application of this approach has led to significantly decreased morbi-mortality and reduced length of hospital stay. The aim of our study was to determine whether non-completion of the ERAS protocol following robotic-assisted mini-invasive lobectomy could be the cause of prolonged hospital stay (exceeding 6 days). We conducted a longitudinal retrospective analysis of 34 patients (17 men and 17 women) having undergone robotic-assisted lobectomy for early-stage primary lung carcinoma from January 1, 2022 to December 31, 2022. The study population was divided into two groups based on length of hospital stay: group 1 with length of stay not exceeding 6 days and group 2 with a stay of 7 days or more. Comparative analysis showed no significant difference in ERAS completion score between the two groups, whatever the preoperative (P=0.15), perioperative (P=0.73) or postoperative (P=0.97) time. That said, prolonged air leak (P=0.01) was the main difference among the analyzed variables, followed by Charlson score (P=0.01), grade of complications (P=0.03) and smoking status (P=0.01). Incorporation of complementary measures in our ERAS protocol strategy would in all probability optimize air leak management and further reduce length of hospital stay.

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[机器人辅助微创肺叶切除术后住院时间延长:ERAS方案不完善是罪魁祸首吗?]
术后强化康复(ERAS)是一系列旨在促进术后早日康复的措施。这种方法的应用大大降低了死亡率,缩短了住院时间。我们的研究旨在确定机器人辅助微创肺叶切除术后未完成ERAS方案是否会导致住院时间延长(超过6天)。我们对2022年1月1日至2022年12月31日期间接受机器人辅助肺叶切除术治疗早期原发性肺癌的34名患者(17男17女)进行了纵向回顾性分析。研究对象根据住院时间分为两组:第一组住院时间不超过 6 天,第二组住院时间为 7 天或以上。对比分析表明,无论术前(P=0.15)、围术期(P=0.73)或术后(P=0.97)时间长短,两组的 ERAS 完成评分均无明显差异。也就是说,漏气时间过长(P=0.01)是分析变量中的主要差异,其次是Charlson评分(P=0.01)、并发症等级(P=0.03)和吸烟状况(P=0.01)。在我们的 ERAS 方案策略中纳入辅助措施,很可能会优化气漏管理,进一步缩短住院时间。
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来源期刊
Revue des maladies respiratoires
Revue des maladies respiratoires 医学-呼吸系统
CiteScore
1.10
自引率
16.70%
发文量
168
审稿时长
4-8 weeks
期刊介绍: La Revue des Maladies Respiratoires est l''organe officiel d''expression scientifique de la Société de Pneumologie de Langue Française (SPLF). Il s''agit d''un média professionnel francophone, à vocation internationale et accessible ici. La Revue des Maladies Respiratoires est un outil de formation professionnelle post-universitaire pour l''ensemble de la communauté pneumologique francophone. Elle publie sur son site différentes variétés d''articles scientifiques concernant la Pneumologie : - Editoriaux, - Articles originaux, - Revues générales, - Articles de synthèses, - Recommandations d''experts et textes de consensus, - Séries thématiques, - Cas cliniques, - Articles « images et diagnostics », - Fiches techniques, - Lettres à la rédaction.
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