Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation.

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.

journal_name

J Thorac Dis

authors

D'Andrilli A,Massullo D,Rendina EA

doi

10.21037/jtd.2017.12.82

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

S535-S541

issue

Suppl 4

eissn

2072-1439

issn

2077-6624

pii

jtd-10-S4-S535

journal_volume

10

pub_type

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