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.
2018
video-assisted thoracic surgery (VATS); lobectomy; fast-track surgery
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
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]
File allegati a questo prodotto
File Dimensione Formato  
D'Andrilli_Enhanced_2018.pdf

accesso aperto

Tipologia: Versione editoriale (versione pubblicata con il layout dell'editore)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 178.04 kB
Formato Adobe PDF
178.04 kB Adobe PDF

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1507590
Citazioni
  • ???jsp.display-item.citation.pmc??? 0
  • Scopus 2
  • ???jsp.display-item.citation.isi??? 2
social impact