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In the realm of lung surgery, video-assisted thoracoscopic surgery (VATS) offers distinct advantages, including shorter hospital stays, reduced pain, improved quality of life, and increased postoperative mobility when compared to thoracotomy. Additionally, the enhanced recovery after surgery (ERAS) protocol in lung surgery, characterized by a comprehensive, multidisciplinary approach, have streamlined postoperative recovery, resulting in early discharge and diminished postoperative complications. However, drawing from our extensive experience with fully implemented ERAS VATS for patients undergoing pulmonary lobectomy, we observed that approximately 45% of patients did not experience early discharge.
Based on existing evidence, the length of stay (LOS) following wedge resection typically ranges from 3 to 6 days across various regions, including Europe, the United States, and China. However, there is a notable lack of procedure-specific data for ERAS VATS wedge resection to explore reasons of delaying discharge. This prompts us to undertake an investigation into individuals following pulmonary wedge resection under the same ERAS programs.
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| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | Number of overnight stay | Up to the day of discharge |
| Reasons for staying in hospital | patient-reported outcomes for why in hospital, including pain or social factors; postoperative complications, diagnosed by clinicians | Up to the day of discharge |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pain scale | The pain scale (from 0 to 10) will be evaluated by patients. | At the day of surgery |
| Duration of chest drain | Days of chest drain placed |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who underwent video-assisted thoracoscopic surgery wedge resection.
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| Name | Affiliation | Role |
|---|---|---|
| René H Petersen | Department of Cardiothoracic Surgery, Copenhagen University Hospital, Rigshospitalet | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | 2100 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39374548 | Derived | Huang L, Kehlet H, Petersen RH. Why do patients stay in hospital after enhanced recovery thoracoscopic wedge resection? A prospective observational study. Eur J Cardiothorac Surg. 2024 Oct 1;66(4):ezae366. doi: 10.1093/ejcts/ezae366. |
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The data is possible shared to other researchers if they contact with study director and the approvals are obtained subsequently.
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| Up to the day of chest drain removed |
| Postoperative complications | Diagonosis is following ICD-10 | Up to postoperative day 30 |
| 30-day readmissions | Admission to hospital again within 30 days after surgery | Up to postoperative day 30 |
| Postoperative activity | Patients report whether they can stand up, walk within 6 meters, or walk over 6 meters, up to 3 and 6 hours after surgery | At the day of surgery |
| Opioid usage | It is classified as opioid used and no opioid used | At the day of surgery and at the day of discharge |