Application Of Enhanced Recovery After Surgery In Video-assisted Thoracic Surgery For Lung Cancer

Objective: To explore the clinical effects and feasibility of enhanced recovery after surgery in video-assisted thoracic surgery for early and middle stage lung cancer.Methods: The clinical data of 60 patients with non-small cell lung cancer(NSCLC)in the same medical group of thoracic surgery at the Fourth Affiliated Hospital of China Medical University from September 2016 to July 2018 were retrospectiveiy analyzed.According to different perioperative treatment concept and methods,they were divided into ERAS group and control group equally.The postoperative pain score(VAS),inflammation index(CRP and PCT),pulmonary function,incidence of complications,and length of hospital stay were compared between the two groups.Results: ERAS group had lower pain score on the 1st,3rd and 5th postoperative day(P<0.05).The levels of CRP and PCT in two groups were higher than preoperation,showing a trend of first increase and then decrease,while ERAS group were lower than that of control group on the 1st and 3rd postoperative day(P<0.05).ERAS group had higher pulmonary function level on the 3rd postoperative day(P<0.05).ERAS group also had shorter length of hospital stay,the difference was statistically significant(P<0.05).Conclusions: Compared with traditional treatment concept,application of ERAS in video-assisted thoracic surgery for early and middle stage lung cancer may alleviate postoperative pain and inflammation,help to rapid and effective recovery of lung function,and shorten length of hospital stay.It has great potential for development and is worthy of clinical promotion.