Abstract: 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.
Enhanced recovery pathways in thoracic surgery from Italian VATS group: preoperative optimisation / Antonio, D’Andrilli; Massullo, Domenico; Rendina, Erino A.. - In: JOURNAL OF THORACIC DISEASE. - ISSN 2072-1439. - (2018), pp. 535-541. [10.21037/jtd.2017.12.82]
Enhanced recovery pathways in thoracic surgery from Italian VATS group: preoperative optimisation
Antonio D’Andrilli;Domenico Massullo;Erino A. Rendina
2018
Abstract
Abstract: 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.File | Dimensione | Formato | |
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