Safety analysis of day surgery program of video-assisted thoracoscopic surgery for pulmonary nodule_West China Medical Journal

Authors：

JIANG Lisha ¹ , ZHAN Lili ¹ , SHEN Cheng ² , ZHOU Kun ² , CHE Guowei ² ,  MA Hongsheng ¹

1. Day Surgery Center, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

MA Hongsheng, Email: mahongsheng@wchscu.cn

Keywords：

Video-assisted thoracoscopic surgery; Day surgery; Non-small-cell lung cancer

DOI：

10.7507/1002-0179.202001007

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To explore the safety of day surgery program of video-assisted thoracoscopy surgery in the treatment of pulmonary nodules.Methods We retrospectively analyzed the clinical features of the patients who received video-assisted thoracoscopy surgery between June and November 2019 in Day Surgery Center of West China Hospital, Sichuan University. The basic conditions, surgery duration, intraoperative blood loss, placement time of thoracic drainage, postoperative pain score, hospitalization expenses, and postoperative complications were observed. Postoperative telephone follow-up was conducted on the 2nd, 3rd, and 30th day after operation. The 1st day after operation means the next day after operation.Results A total of 29 patients were included with 5 males and 24 females. Surgeries were successfully performed on these 29 patients and they were all discharged as planned. The mean surgery duration was (78.14±16.37) min, the mean intraoperative blood loss was (38.15±23.04) mL, and the mean placement time of thoracic drainage was (577.45±233.70) min. Intraoperative open chest surgery and massive hemorrhage were not occurred. The Pain Numerical Rating Scale score at the 6th hour after surgery was 2.10±0.56, and the average hospitalization expense was (33 600±4 611) yuan. In the 29 patients, the postoperative complications included pneumothorax in 2, urinary retention in 1, tachycardia in 1, and persistent cough in 9. No recurrence of the listed complications was reported on the 30th day of telephone follow-up. No severe complications or postoperative death occurred.Conclusion Day surgery program of video-assisted thoracoscopy surgery is safe and effective in the treatment of pulmonary nodules.

Citation： JIANG Lisha, ZHAN Lili, SHEN Cheng, ZHOU Kun, CHE Guowei, MA Hongsheng. Safety analysis of day surgery program of video-assisted thoracoscopic surgery for pulmonary nodule. West China Medical Journal, 2020, 35(2): 152-155. doi: 10.7507/1002-0179.202001007 Copy

1.	McKenna RG Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
2.	Swanson SJ, Herndon JE 2nd, D’Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802--a prospective, multi-institution feasibility study. J Clin Oncol, 2007, 25(31): 4993-4997.
3.	Lai Y, Wang X, Zhou K, et al. Impact of one-week preoperative physical training on clinical outcomes of surgical lung cancer patients with limited lung function: a randomized trial. Ann Transl Med, 2019, 7(20): 544.
4.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA surgery, 2017, 152(3): 292-298.
5.	Nicoll JH. The surgery of infancy. Paediatr Anaesth, 1909, 2(2542): 753-754.
6.	蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
7.	蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
8.	Agustoni F, Hirsch FR. PACIFIC trial: new perspectives for immunotherapy in lung cancer. Transl Lung Cancer Res, 2018, 7(Suppl 1): S19-S24.
9.	Detterbeck FC, Boffa DJ, Kim AW, et al. The eighth edition lung cancer stage classification. Chest, 2017, 151(1): 193-203.
10.	Karcioglu O, Topacoglu H, Dikme O, et al. A systematic review of the pain scales in adults: which to use?. Am J Emerg Med, 2018, 36(4): 707-714.
11.	Vallières E, Pagé A, Verdant A. Ambulatory mediastinoscopy and anterior mediastinotomy. Ann Thorac Surg, 1991, 52(5): 1122-1126.
12.	Molins L, Fibla JJ, Pérez J, et al. Outpatient thoracic surgical programme in 300 patients: clinical results and economic impact. Eur J Cardiothorac Surg, 2006, 29(3): 271-275.
13.	Whitson BA, Andrade RS, Boettcher A, et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage Ⅰnon-small cell lung cancer. Ann Thorac Surg, 2007, 83(6): 1965-1970.
14.	Hanna WC, de Valence M, Atenafu EG, et al. Is video-assisted lobectomy for non-small-cell lung cancer oncologically equivalent to open lobectomy?. Eur J Cardiothorac Surg, 2013, 43(6): 1121-1125.
15.	Bendixen M, Jørgensen OD, Kronborg C, et al. Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomised controlled trial. Lancet Oncol, 2016, 17(6): 836-844.
16.	Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27(15): 2553-2562.

1. McKenna RG Jr, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1,100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
2. Swanson SJ, Herndon JE 2nd, D’Amico TA, et al. Video-assisted thoracic surgery lobectomy: report of CALGB 39802--a prospective, multi-institution feasibility study. J Clin Oncol, 2007, 25(31): 4993-4997.
3. Lai Y, Wang X, Zhou K, et al. Impact of one-week preoperative physical training on clinical outcomes of surgical lung cancer patients with limited lung function: a randomized trial. Ann Transl Med, 2019, 7(20): 544.
4. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review. JAMA surgery, 2017, 152(3): 292-298.
5. Nicoll JH. The surgery of infancy. Paediatr Anaesth, 1909, 2(2542): 753-754.
6. 蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
7. 蒋丽莎, 谢晓兰, 戴燕, 等. 四川大学华西医院日间手术入院前管理规范. 华西医学, 2019, 34(2): 133-136.
8. Agustoni F, Hirsch FR. PACIFIC trial: new perspectives for immunotherapy in lung cancer. Transl Lung Cancer Res, 2018, 7(Suppl 1): S19-S24.
9. Detterbeck FC, Boffa DJ, Kim AW, et al. The eighth edition lung cancer stage classification. Chest, 2017, 151(1): 193-203.
10. Karcioglu O, Topacoglu H, Dikme O, et al. A systematic review of the pain scales in adults: which to use?. Am J Emerg Med, 2018, 36(4): 707-714.
11. Vallières E, Pagé A, Verdant A. Ambulatory mediastinoscopy and anterior mediastinotomy. Ann Thorac Surg, 1991, 52(5): 1122-1126.
12. Molins L, Fibla JJ, Pérez J, et al. Outpatient thoracic surgical programme in 300 patients: clinical results and economic impact. Eur J Cardiothorac Surg, 2006, 29(3): 271-275.
13. Whitson BA, Andrade RS, Boettcher A, et al. Video-assisted thoracoscopic surgery is more favorable than thoracotomy for resection of clinical stage Ⅰnon-small cell lung cancer. Ann Thorac Surg, 2007, 83(6): 1965-1970.
14. Hanna WC, de Valence M, Atenafu EG, et al. Is video-assisted lobectomy for non-small-cell lung cancer oncologically equivalent to open lobectomy?. Eur J Cardiothorac Surg, 2013, 43(6): 1121-1125.
15. Bendixen M, Jørgensen OD, Kronborg C, et al. Postoperative pain and quality of life after lobectomy via video-assisted thoracoscopic surgery or anterolateral thoracotomy for early stage lung cancer: a randomised controlled trial. Lancet Oncol, 2016, 17(6): 836-844.
16. Yan TD, Black D, Bannon PG, et al. Systematic review and meta-analysis of randomized and nonrandomized trials on safety and efficacy of video-assisted thoracic surgery lobectomy for early-stage non-small-cell lung cancer. J Clin Oncol, 2009, 27(15): 2553-2562.

West China Medical Journal

Safety analysis of day surgery program of video-assisted thoracoscopic surgery for pulmonary nodule

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