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Esakov Yu.S.

Moscow City Oncology Hospital No. 1

Efteev L.A.

Moscow City Oncology Hospital No. 1

Banova Zh.I.

Moscow City Oncology Hospital No. 1

Gaforov D.A.

Moscow City Oncology Hospital No. 1

Suryakhina Ya.I.

Moscow City Oncology Hospital No. 1

Tukvadze Z.G.

Moscow City Oncology Hospital No. 1

Galkin V.N.

Moscow City Oncology Hospital No. 1

Enhanced recovery in thoracic surgery

Authors:

Esakov Yu.S., Efteev L.A., Banova Zh.I., Gaforov D.A., Suryakhina Ya.I., Tukvadze Z.G., Galkin V.N.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(10): 68‑74

DOI: 10.17116/hirurgia202110168

Read: 5417 times

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Table of contents

ENHANCED RECOVERY IN THORACIC SURGERY
ENHANCED RECOVERY IN THORACIC SURGERY

To cite this article:

Esakov YuS, Efteev LA, Banova ZhI, Gaforov DA, Suryakhina YaI, Tukvadze ZG, Galkin VN. Enhanced recovery in thoracic surgery. Pirogov Russian Journal of Surgery. 2021;(10):68‑74. (In Russ.)
https://doi.org/10.17116/hirurgia202110168

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To present an experience of adapting the accelerated rehabilitation protocol at the thoracic surgery department of the Moscow City Clinical Oncology Hospital No. 1.

MATERIAL AND METHODS

An effectiveness of the accelerated rehabilitation program in the city oncology hospital was retrospectively analyzed for the period from February to December 2019. Lung resections were performed in 252 patients with median age 66 (59; 71) years and an equal ratio of men and women (124/128). Primary non-small cell lung cancer was noted in 194 (77%) patients, secondary malignant neoplasms of lungs — in 58 (23%) cases. ASA grading system of anesthetic risk was applied (American Society of Anesthesiologists): grade II — 56 (22.2%) patients, grade III — 203 (75.2%) patients, grade IV — 7 (2.8%) patients.

RESULTS

Lobectomy was performed in 147 patients, segmentectomy — in 32, bilobectomy, pneumonectomy and marginal resection — in 1, 3 and 69 cases, respectively. Endoscopic operations made up 13.6% (n=20), 12.5% (n=4) and 78% (n=54). Postoperative 30-day complications occurred in 19 (7.5%) out of 252 patients (95% CI 4.9—11.5). Postoperative 30-day mortality was 1.98% (5 out of 252 patients, 95% CI 0.9—4.6). Median postoperative hospital-stay was 7 (6; 8) days.

CONCLUSION

Implementation of fast track protocol requires time and the first results can be assessed after 6-12 months. Continuous monitoring of implementation of the protocol elements by all members of multidisciplinary team, analysis of complications and long-term results are required to realize all potential benefits of this program.

Keywords:

accelerated rehabilitation
accelerated recovery program
Fast track
thoracic surgery
lung cancer

Authors:

Esakov Yu.S.

Moscow City Oncology Hospital No. 1

Efteev L.A.

Moscow City Oncology Hospital No. 1

Banova Zh.I.

Moscow City Oncology Hospital No. 1

Gaforov D.A.

Moscow City Oncology Hospital No. 1

Suryakhina Ya.I.

Moscow City Oncology Hospital No. 1

Tukvadze Z.G.

Moscow City Oncology Hospital No. 1

Galkin V.N.

Moscow City Oncology Hospital No. 1

Received:

18.02.2021

Accepted:

13.04.2021

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