2018
DOI: 10.21037/jtd.2017.12.140
|View full text |Cite
|
Sign up to set email alerts
|

Enhanced recovery pathways in thoracic surgery: the Shanghai experience

Abstract: The attempts to implement the enhanced recovery (ER) program based on multiple specialties to minimize errors and complications in addition to speeding up the patient's treatment and recovery as much as possible. In China mainland, there is no unified hospital system and there are large differences between hospitals' results and protocols. The patient length of stay rate at the Shanghai Pulmonary Hospital (very high-volume referral hospital) is 7 days and may be considered a very good result compared to intern… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
1
1

Citation Types

0
2
0

Year Published

2018
2018
2023
2023

Publication Types

Select...
2

Relationship

0
2

Authors

Journals

citations
Cited by 2 publications
(2 citation statements)
references
References 27 publications
0
2
0
Order By: Relevance
“…Robotic-assisted thoracic surgery has been proven to A B C D be feasible and safe, with proponents citing improved instrument control, ergonomics and improved intraoperative views, which is especially helpful for complicated procedures (16,17). Since uni-portal VATS had been wildly accepted for decades (18)(19)(20), we attempted to perform uniportal RATS and succeeded in almost all kinds of major pulmonary resections, from segmentectomies to carinal sleeve resections (21)(22)(23)(24)(25). In this paper, we outline the results of our retrospective study examining the shortterm outcomes after U-RATS and B-RATS and share our experiences with the U-RATS technology.…”
Section: Discussionmentioning
confidence: 99%
“…Robotic-assisted thoracic surgery has been proven to A B C D be feasible and safe, with proponents citing improved instrument control, ergonomics and improved intraoperative views, which is especially helpful for complicated procedures (16,17). Since uni-portal VATS had been wildly accepted for decades (18)(19)(20), we attempted to perform uniportal RATS and succeeded in almost all kinds of major pulmonary resections, from segmentectomies to carinal sleeve resections (21)(22)(23)(24)(25). In this paper, we outline the results of our retrospective study examining the shortterm outcomes after U-RATS and B-RATS and share our experiences with the U-RATS technology.…”
Section: Discussionmentioning
confidence: 99%
“…Additional challenges unique to thoracic surgery include the physiologic insult caused by one lung ventilation intraoperatively and pain from intercostal incisions limiting respiratory effort. There are currently no consensus guidelines from the ERAS group for general thoracic surgery; however, several groups have published their initial experiences with enhanced recovery protocols (3)(4)(5)(6)(7)(8)(9)(10). Common elements include preoperative optimization with smoking cessation and preoperative exercise regimens, intraoperative care modifications with a focus on minimally invasive techniques, drain limitation, and long term narcotic avoidance.…”
Section: Introductionmentioning
confidence: 99%