Safety and effectiveness of thoracic day surgery in patient with lung cancer

Abstract

Background The successful implementation of the Enhanced recovery after surgery (ERAS) concept in thoracic surgery has made it possible to complete the surgery in the day surgery unit. However, it is still unclear whether day surgery for lung cancer patients can achieve the same results. Methods A systematic literature search was completed in PubMed, Cochrane Library, EMBASE, China National Knowledge Infrastructure (CNKI), and Web of Science for studies published from 1995 to May 2022. The quality of the articles was evaluated using the Newcastle-Ottawa Scale (NOS) and the data analyzed using the Review Manager 5.3 software. Results We ultimately included 7 retrospective articles that met our criteria for the study. Age, smoking status of patient, comorbidity before the day surgery and pulmonary function tests were better than in inpatient surgery group. Minimally invasive surgical method with segmentectomy was more used in day surgery group than in normal surgery group. The 30-day mortality was also lower in day surgery group and it displayed that early discharged patients had fewer overall complications than the inpatient surgery group. Conclusions Thoracic day surgery has more advantages over inpatient surgery for patient with lung cancer and safe POD1 discharge.