Efficacy of Enhanced Recovery After Surgery Program for Patients Undergoing Lobectomy for Lung Cancer: A Scoping Review and Single-Center Initial Result in Vietnam

Abstract

Surgery for lung cancer can be invasive and the recovery process is often slow with many complications. To address this, the enhanced recovery after surgery (ERAS) program aims to minimize adverse clinical events for surgical patients. This is achieved through a multimodal perioperative care protocol that aims to preserve preoperative organ function and reduce postoperative complications. Initially applied to gastrointestinal surgery, this model has now been expanded to other major surgeries, including lung surgery. Through a review of seven retrospective and prospective cohort observational studies, we have examined the effects of the ERAS program on patients undergoing lobectomy for lung cancer treatment. Our analysis focused on outcomes such as length of stay, re-operation rate, re-admission rate, postoperative mortality, and costs, providing valuable insights into the real clinical practice setting. We also report on some initial results when applying ERAS at University Medical Center Ho Chi Minh City.

Length of Postoperative Hospital Stay and Related Factors After Lobectomy for Lung Cancer: A Pre-enhanced Recovery After Surgery (ERAS) Single Center Assessment

“…In 2019, the recommendations of the ERAS Association and the European Association of Thoracic Surgeons published the Guidelines for Enhanced Recovery After Lung Surgery. With strong evidence, ERAS is recommended for widespread use in major surgeries to reduce the LOS and limit complications and readmission rates [12,13]. Although the beneficial effects of ERAS have been proven, implementation at each medical facility is different.…”

Effects of accelerated rehabilitation surgical care on the surgical site wound infection and postoperative complications in patients of lung cancer: A meta‐analysis

“…Therefore, to promote more rapid postoperative recovery, effective nursing interventions are also needed, and the concept of enhanced recovery after surgery (ERAS) has emerged. 11,12 Accelerated rehabilitative surgical care, also known as ERAS, is an innovative concept in perioperative procedures that focuses on the patient; collaborates with anaesthesiology, clinical nutrition, rehabilitation and other multidisciplinary disciplines; and adopts a series of measures that are optimal for the patient to achieve a win-win situation for hospitals, doctors, patients and families. 13,14 At present, the effectiveness of the accelerated rehabilitation surgical care model has been proven in the fields of neurosurgery, cardiac surgery, hepatobiliary surgery and osteoarthritis, [15][16][17][18] in recent years, it has also been gradually applied and promoted in lung cancer surgery patients.…”

“…The various complications and increased economic burden associated with surgery are a major problem. Therefore, to promote more rapid postoperative recovery, effective nursing interventions are also needed, and the concept of enhanced recovery after surgery (ERAS) has emerged 11,12 …”

“…Therefore, to promote more rapid postoperative recovery, effective nursing interventions are also needed, and the concept of enhanced recovery after surgery (ERAS) has emerged. 11 , 12 …”