Analysis of Discharge Destination After Open Versus Minimally Invasive Surgery for Lung Cancer

Publication date: February 2020Source: The Annals of Thoracic Surgery, Volume 109, Issue 2Author(s): Rohun Bhagat, Michael R. Bronsert, William G. Henderson, Christopher D. Scott, Michael J. Weyant, John D. Mitchell, David A. Fullerton, Robert A. MeguidBackgroundPatients express strong opinion regarding discharge destination, preferring discharge home vs elsewhere. As focus on patient satisfaction increases, we sought to understand differences in postoperative discharge destination after minimally invasive vs open anatomic lung resection for lung cancer to guide patient education and management and better understand the postoperative patient experience.MethodsProcedures were identified by Current Procedural Terminology and International Classification of Diseases codes using the 2012-2017 American College of Surgeons National Surgical Quality Improvement Program dataset. Propensity score analysis was used to assess the relationship between the surgical approach and nonhome discharge destination (primary outcome) and postoperative complications; related, unplanned readmission; and mortality (secondary outcomes).ResultsA total of 17,303 patients underwent anatomic lung resection for lung cancer, including 10,121 (58.5%) minimally invasive and 7182 (41.5%) open resections. Patients undergoing open resection had 60% greater odds of nonhome discharge (P
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research

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Reduced use of epidural analgesia has had no negative short-term effect on patients with non-small-cell lung cancer (NSCLC) undergoing minimally invasive surgery (MIS) lobectomy, researchers have found.Reuters Health Information
Source: Medscape General Surgery Headlines - Category: Surgery Tags: Hematology-Oncology News Source Type: news
The foundation of enhanced recovery after surgery (ERAS) is closely related to the minimally invasive surgery progress. In the development of ERAS, technology is utilized and humanistic factors are integrated to make it higher than technology, thus enriching the connotation and extension of ERAS. Based on the progress of ERAS in various fields of surgery in recent years, the current situation and strategies of clinical application of ERAS are summarized. First, the clinical practice of ERAS is inevitable for minimally invasive surgery progress. Second, the development of surgery theory and technology has deepened and expan...
Source: Chinese Journal of Lung Cancer - Category: Cancer & Oncology Source Type: research
Objective: Investigate the effect of smoking cessation timing on the Enhanced Recovery After Surgery program in terms of postoperative pulmonary complication (PPC) rate and hospital length of stay (LOS) after videothoracoscopic (VATS) lobectomy for lung cancer patients.Methods: Patients with early stage non-small cell lung carcinoma who underwent VATS lobectomy between January 2017 and 2019 were enrolled, prospectively. Relationship between timing of smoke cessation in ERAS program and PPC incidence was studied by 2 cohorts: Group 1 consisted of non-smokers or patients who quitted ≥4 weeks before operation. Group 2 cons...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic surgery Source Type: research
Objective: To investigate cancer- and noncancer-specific mortality following lobectomy by minimally invasive surgery (MIS) versus open thoracotomy in elderly patients with nonsmall cell lung cancer (NSCLC). Background: Two-thirds of patients with NSCLC are ≥65 years of age. As age increases, the risk of competing events, such as noncancer death, also increases. Methods: Elderly patients (≥65 yrs of age) who have undergone curative-intent lobectomy for stage I-III NSCLC without induction therapy (2002–2013) were included (n=1,303). Of those, 607 patients had undergone MIS and 696 had undergone thoracotom...
Source: Annals of Surgery - Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research
The last decade has seen a transition in the surgical approach to lobectomy, from thoracotomy to minimally invasive surgery (MIS), for treating patients with early-stage non-small cell lung cancer (NSCLC) [1]. Growing evidence has demonstrated that MIS lobectomy, including video-assisted thoracic surgery (VATS) and robotic-assisted thoracic surgery (RATS), is associated with fewer postoperative complications such as arrhythmias and pneumonia and shorter chest tube duration and length of hospital stay [2 –8].
Source: Lung Cancer - Category: Cancer & Oncology Authors: Source Type: research
Authors: Hirai K, Usuda J Abstract Background: Post-thoracotomy pain syndrome (PTPS) is difficult for thoracic surgeons to manage. PTPS should never arise after minimally invasive surgery (MIS). Uniportal video-assisted thoracoscopic surgery (U-VATS), a form of MIS for thoracic disease, has become more common around the world and might reduce the risk of PTPS after thoracic surgery. We compared the frequencies of PTPS after U-VATS-based and multi-port VATS (M-VATS)-based lobectomy for lung cancer. Methods: We compared the data for 142 and 70 cases in which U-VATS- and M-VATS-based lobectomies were performed, re...
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Condition:   Lung Cancer Stage I Interventions:   Other: In minimally invasive surgery,Vagus nerve preservation;   Other: In minimally invasive surgery,Vagus nerve is not preserved Sponsor:   Shanghai Tongji Hospital, Tongji University School of Medicine Recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 30 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Rohun Bhagat, Michael R. Bronsert, William G. Henderson, Christopher D. Scott, Michael J. Weyant, John D. Mitchell, David A. Fullerton, Robert A. MeguidBackgroundPatients express strong opinion over discharge destination–preferring discharge home versus elsewhere. As focus on patient satisfaction increases, we sought to understand differences in postoperative discharge destination after minimally invasive versus open anatomic lung resection for lung cancer to guide patient education and management, and to better under...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
Abstract BACKGROUND: Patients express strong opinion over discharge destination-preferring discharge home versus elsewhere. As focus on patient satisfaction increases, we sought to understand differences in postoperative discharge destination after minimally invasive versus open anatomic lung resection for lung cancer to guide patient education and management, and to better understand the postoperative patient experience. METHODS: Procedures were identified by current procedural terminology and international classification of disease codes using the 2012-17 American College of Surgeons National Surgical Quali...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: Ann Thorac Surg Source Type: research
Publication date: Available online 14 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Ruochuan Zang, Ju-Fang Shi, Toni E. Lerut, Le Wang, Chia-Chuan Liu, Alessandro Brunelli, René Horsleben Petersen, Calvin Sze Hang Ng, Eric Lim, Shugeng Gao, AME Thoracic Surgery Collaborate GroupAbstractBackgroundLung cancer has changed significantly during the past two decades in its epidemiology and treatment. We conducted a retrospective analysis using data from seven major areas of China over ten years to evaluate clinicopathologic and surgical treatment trends of lung cancer in China during the past decadeMethod...
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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