Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process
Background and objective The types and number of day surgery are increasing, what is the result of day surgery of selected patients with lung cancer? To explore the operation process and clinical effect of day surgery in patients with lung cancer by fusing the concept of enhanced recovery after surg...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | zho |
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Chinese Anti-Cancer Association; Chinese Antituberculosis Association
2020-02-01
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| Series: | Chinese Journal of Lung Cancer |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.3779/j.issn.1009-3419.2020.02.02 |
| _version_ | 1818191389978001408 |
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| author | Yingxian DONG Daojun ZHU Guowei CHE Lunxu LIU Kun ZHOU Tao ZHU Hongsheng MA |
| author_facet | Yingxian DONG Daojun ZHU Guowei CHE Lunxu LIU Kun ZHOU Tao ZHU Hongsheng MA |
| author_sort | Yingxian DONG |
| collection | DOAJ |
| description | Background and objective The types and number of day surgery are increasing, what is the result of day surgery of selected patients with lung cancer? To explore the operation process and clinical effect of day surgery in patients with lung cancer by fusing the concept of enhanced recovery after surgery (ERAS) and minimally invasive surgical techniques. Methods A prospective study was planned with the approval of our institutional review board. 153 lung cancer patients who underwent anatomic resection in a single medical group between June 2019 and Nov 2019 were randomized. 20 patients were applied day surgery and 28 patients by inpatient surgery and the average length of stay, average hospital cost , complications and adverse reactions were analysed. Results The average hospital day in DSG group (1 d) was significantly shorter than in ISG group (7.7±2.8) d (P=0.000). The average hospital cost in DSG group (38,297.3±3,408.7)¥ was significantly lower than in ISG group (47,831.1±7,376.1)¥ (P=0.000). There was no significant difference in the incidence of postoperative complications between the daytime surgery group (5.0%) and the inpatient surgery group (3.6%) (P=0.812). The postoperation adverse reactions in DSG (10.0%) and ISG (17.9%) is no difference (P=0.72). Conclusion Our study showed that the same clinical effect achieved between DSG and ISG, and recover quickly lung cancer patients after day surgery. |
| first_indexed | 2024-12-12T00:13:50Z |
| format | Article |
| id | doaj.art-a86a185f506c41a5bf7524225cc356ce |
| institution | Directory Open Access Journal |
| issn | 1009-3419 1999-6187 |
| language | zho |
| last_indexed | 2024-12-12T00:13:50Z |
| publishDate | 2020-02-01 |
| publisher | Chinese Anti-Cancer Association; Chinese Antituberculosis Association |
| record_format | Article |
| series | Chinese Journal of Lung Cancer |
| spelling | doaj.art-a86a185f506c41a5bf7524225cc356ce2022-12-22T00:44:54ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872020-02-01232778310.3779/j.issn.1009-3419.2020.02.02Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating ProcessYingxian DONG0Daojun ZHU1Guowei CHE2Lunxu LIU3Kun ZHOU4Tao ZHU5Hongsheng MA6Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Anesthesiology, West China Hospital, Sichuan University, Chengdu 610041, ChinaDay Surgery Center, West China Hospital, Sichuan University, Chengdu 610041, ChinaBackground and objective The types and number of day surgery are increasing, what is the result of day surgery of selected patients with lung cancer? To explore the operation process and clinical effect of day surgery in patients with lung cancer by fusing the concept of enhanced recovery after surgery (ERAS) and minimally invasive surgical techniques. Methods A prospective study was planned with the approval of our institutional review board. 153 lung cancer patients who underwent anatomic resection in a single medical group between June 2019 and Nov 2019 were randomized. 20 patients were applied day surgery and 28 patients by inpatient surgery and the average length of stay, average hospital cost , complications and adverse reactions were analysed. Results The average hospital day in DSG group (1 d) was significantly shorter than in ISG group (7.7±2.8) d (P=0.000). The average hospital cost in DSG group (38,297.3±3,408.7)¥ was significantly lower than in ISG group (47,831.1±7,376.1)¥ (P=0.000). There was no significant difference in the incidence of postoperative complications between the daytime surgery group (5.0%) and the inpatient surgery group (3.6%) (P=0.812). The postoperation adverse reactions in DSG (10.0%) and ISG (17.9%) is no difference (P=0.72). Conclusion Our study showed that the same clinical effect achieved between DSG and ISG, and recover quickly lung cancer patients after day surgery.http://dx.doi.org/10.3779/j.issn.1009-3419.2020.02.02day surgeryinpatient surgeryenhanced recovery after surgerylung neoplasms |
| spellingShingle | Yingxian DONG Daojun ZHU Guowei CHE Lunxu LIU Kun ZHOU Tao ZHU Hongsheng MA Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process Chinese Journal of Lung Cancer day surgery inpatient surgery enhanced recovery after surgery lung neoplasms |
| title | Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process |
| title_full | Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process |
| title_fullStr | Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process |
| title_full_unstemmed | Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process |
| title_short | Clinical Effect of Day Surgery in Patients with Lung Caner by Optimize Operating Process |
| title_sort | clinical effect of day surgery in patients with lung caner by optimize operating process |
| topic | day surgery inpatient surgery enhanced recovery after surgery lung neoplasms |
| url | http://dx.doi.org/10.3779/j.issn.1009-3419.2020.02.02 |
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