|Table of Contents|

Amplication of video-assisted thoracoscopic sublobectomy in elderly patients with ground-glass opacity under the theory of enhanced recovery after surgery

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2019 01
Page:
71-74
Research Field:
Publishing date:

Info

Title:
Amplication of video-assisted thoracoscopic sublobectomy in elderly patients with ground-glass opacity under the theory of enhanced recovery after surgery
Author(s):
Jiang YufengLu JibinZhang Hongyan
Department of Thoracic Surgery,Shengjing Hospital of China Medical University,Liaoning Shenyang 110000,China.
Keywords:
enhanced recovery after surgerysublobectomyground-glass opacityelderly patient
PACS:
R734.2
DOI:
10.3969/j.issn.1672-4992.2019.01.018
Abstract:
Objective: To investigate clinical efficiency and safety of the application of enhanced recovery after surgery theory combined with video-assisted thoracoscopic sublobectomy in elderly patients with ground-glass opacity.Methods:42 elderly patients who intend to have the intentional resection of GGO from Department of Thoracic Surgery,Shengjing Hospital Affiliated to China Medical University from February 2016 to February 2018 were enrolled as study subjects.The mean age was 68.2 years old(from 60 to 78).The patients were treated with the ERAS theory in conjunction with video-assisted thoracoscopic sublobectomy(segmentectomy or wedge resection).Results:All the 42 patients completed the surgery successfully,with no case needed a second operation and no death occurred during perioperative.Three patients experienced postoperative complications.One patient had a postoperative pneumothorax and was cured by resetting the thoracic drainage tube.One patient developed postoperative arrhythmia and one patient developed postoperative pulmonary infection.The remaining patients did not have serious complications.The average length of stay after surgery was 3.8 days and no evident abnormality showed in chest X-ray one week after discharge.Conclusion:The theory of ERAS combined with thoracoscopic sublobectomy in elderly patients with suspected GGO is safe and feasible,which providing a safer approach to elderly GGO patients.

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