Postoperative pulmonary complications and rehabilitation requirements following lobectomy: a propensity score matched study of patients undergoing video-assisted thoracoscopic surgery versus thoracotomy†

Agostini, Paula; Lugg, Sebastian T; Adams, Kerry; Vartsaba, Nelia; Kalkat, Maninder; Rajesh, P.; Steyn, Richard; Naidu, Babu; Rushton, Alison; Bishay, Ehab

doi:10.1093/icvts/ivx002

Cited by 72 publications

(65 citation statements)

References 24 publications

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“…Published studies were mainly conducted in patients who underwent thoracotomy, but the functional outcomes of thoracotomy are different to those of VATS (18).…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive surgery limits the functional and painful impact of surgery and promotes early recovery (18).…”

Section: Surgery By Video Assisted Thoracic Surgery (Vats) or Roboticmentioning

confidence: 99%

“…The median number of prehabilitation sessions was 17 [14][15][16][17][18][19][20]. The median number of days between CPET and surgery was 44 [29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46].…”

Section: Parameters Of Prehabilitation and Surgerymentioning

confidence: 99%

See 2 more Smart Citations

Impact of prehabilitation on morbidity and mortality after pulmonary lobectomy by minimally invasive surgery: a cohort study

Boujibar¹,

Bonnevie²,

Debeaumont³

et al. 2018

J. Thorac. Dis.

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“…Published studies were mainly conducted in patients who underwent thoracotomy, but the functional outcomes of thoracotomy are different to those of VATS (18).…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive surgery limits the functional and painful impact of surgery and promotes early recovery (18).…”

Section: Surgery By Video Assisted Thoracic Surgery (Vats) or Roboticmentioning

confidence: 99%

See 1 more Smart Citation

Impact of prehabilitation on morbidity and mortality after pulmonary lobectomy by minimally invasive surgery: a cohort study

Boujibar¹,

Bonnevie²,

Debeaumont³

et al. 2018

J. Thorac. Dis.

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“…Compared to thoracotomy VATS has been associated with decreased mortality (54) and morbidity including major cardiopulmonary complications, atelectasis, wound infections and atrial fibrillation (55), better pain and quality of life (56). The shorter hospital stay is the most important feature, so that VATS is now considered the best approach for elderly patients (57), or with multiple comorbidities (58).…”

Section: The Recent Progressmentioning

confidence: 99%

A glance at the history of uniportal video-assisted thoracic surgery

Mineo¹,

Ambrogi²

2017

J. Vis. Surg.

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In the history of thoracic surgery, the advent of video-assisted thoracic surgery (VATS) had on effect equivalent to that provoked by a true revolution. VATS successfully allowed minor, major and complex procedures for various lung and mediastinal pathologies with small incision instead of the traditional accesses. These small incisions abolished ugly scars, generated less acute and chronic pain, reduced hospital stay and costs, allowed faster return to normal day life activities. Conventional VATS was initially performed

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“…Evidence on the effectiveness of PT is not homogeneous, probably because of the variability of the programs' contents and the quality of the design of the studies. In addition, there is still just a limited number of studies focused on the effectiveness of physical therapy in patients undergoing VATS lobectomy for lung cancer and, therefore, the evidence-based recommendations are scarce (17).…”

Section: Introductionmentioning

confidence: 99%

A comprehensive protocol for physiokinesis therapy and enhanced recovery after surgery in patients undergoing video-assisted thoracoscopic surgery lobectomy

Bertani¹,

Ferrari²,

Terzo³

et al. 2018

J. Thorac. Dis.

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Background: Video-assisted thoracoscopic surgery (VATS) lobectomy has recently been adopted as the gold standard surgical option for the treatment of early stage non-small cell lung cancer. Enhanced recovery after surgery (ERAS) is being progressively adopted in thoracic surgery to improve the postoperative outcomes. Even if the benefits of ERAS are universally accepted, to date a standardized and uniform approach has not been described in the medical literature. The Italian VATS group has recently proposed to include in the VATS lobectomy database a structured protocol for ERAS. Methods:The ERAS section of the Italian VATS group is proposing a comprehensive ERAS protocol within the VATS lobectomy database, allowing the prospective collection of a dedicated set of data. Separate sections of the protocol are dedicated to different topics of ERAS. This study is specifically dedicated to the section of physiokinesis therapy. The medical literature will be extensively reviewed and a physiotherapy (PT) protocol of ERAS will be presented and discussed. A seta of structured clinical pathways will also be suggested for adoption in the VATS Group database.Discussion: Pre-and post-operative adoption of an ERAS protocol in patients undergoing VATS lobectomy may promote an improved post-operative course, a shorter hospital stay and an overall more comfortable patients' experience. The mainstays of a physiokinesis therapy ERAS protocol are patients' education, constant physical and respiratory therapy sessions, and adoption of adequate devices. Although many studies have investigated the usefulness of physical and respiratory physiokinesis therapy, a comprehensive ERAS protocol for VATS lobectomy patients has not yet been described. The proposed ERAS platform, adopted by the VATS Group database, will contribute to a prospective data collection and allow a scientific analysis of the results.

show abstract

Postoperative pulmonary complications and rehabilitation requirements following lobectomy: a propensity score matched study of patients undergoing video-assisted thoracoscopic surgery versus thoracotomy†

Abstract: This study demonstrates that patients undergoing VATS lobectomy developed less PPC and had improved associated outcomes compared to thoracotomy. Patients were more mobile earlier, and required half the physiotherapy resources having fewer pulmonary and mobility issues.

Cited by 72 publications

References 24 publications

Impact of prehabilitation on morbidity and mortality after pulmonary lobectomy by minimally invasive surgery: a cohort study

Impact of prehabilitation on morbidity and mortality after pulmonary lobectomy by minimally invasive surgery: a cohort study

A glance at the history of uniportal video-assisted thoracic surgery

A comprehensive protocol for physiokinesis therapy and enhanced recovery after surgery in patients undergoing video-assisted thoracoscopic surgery lobectomy

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