Pivotal role of video‐assisted thoracoscopic surgery in improving survival outcome of stage I non‐small cell lung cancer in day surgery patients

Abstract

BackgroundLung cancer, the leading cause of cancer‐related deaths worldwide, has high morbidity rates. Video‐assisted thoracoscopic surgery (VATS) as day surgery makes surgical treatment ideally in time with the same quality of medical care. This study aimed to assess the safety of stage I NSCLC patients who underwent VATS at a day surgery center.MethodsWe retrospectively analyzed the clinical characteristics and tumor features of VATS patients at a single center, West China Hospital, from June 1, 2019, to December 31, 2020. Patients fulfilled all inclusion criteria, did not meet any exclusion criteria and underwent wedge resection, segmentectomy, or lobectomy with systematic lymph node dissection.ResultsThe median patient age was 43 (range, 19–67) years. Of the 209 patients, most were women. A total of 108 (51.7%) patients underwent segmentectomy, 87 (41.6%) lobectomy, and 14 (6.7%) wedge resection with systematic lymph node dissection. According to the AJCC/UICC eighth edition of lung cancer stage grouping, stages IA, IA1, IA2, and IA3 were 195 (93.3%), 122 (58.4%), 50 (23.9%), and one (0.5%), respectively. A total of 36 (17.2%) patients were stage 0. Adenocarcinoma was predominantly the postoperative pathological diagnosis, as only 14 (6.7%) were benign. A total of 201 (96.17%) patients were discharged without a chest tube. The most common chief complaints were cough, incisional pain, and shortness of breath. No severe complications or life‐threatening emergencies were observed.ConclusionsThe day surgery mode of VATS for stage I NSCLC is safe and feasible, which makes surgical treatment ideally in time for stage I NSCLC patients with the same quality of medical care.

Comparison of ultrasound-guided subtransverse process interligamentary plane block with paravertebral block for postoperative analgesia in thoracic surgery: protocol for a randomised non-inferiority trial

“…Lung cancer represents a global health concern as one of the most fatal malignancies 16. But recent advancements in thoracoscopic surgery have elevated it as a pivotal therapeutic approach 23. Uniportal thoracoscopic surgery, characterised by its smaller incision, has gained significant popularity, promising faster recovery, reduced complications, improved aesthetics and less postoperative pain 24–26.…”

“…Although thoracic surgery employs a variety of regional blockade techniques, including TPVB, thoracic epidural anaesthesia (TEA), serratus anterior plane (SAP) blocks, and erector spinae plane blocks, retrolaminar block, combined deep and superficial SAP block, serratus posterior superior intercostal plane block,28 29 ongoing debate persists regarding the selection of the most effective method 22–24. The administration of TEA necessitates a high level of technical expertise and is associated with specific adverse effects that may adversely affect postoperative recovery 30.…”

Establishment and Clinical Application of the General Comfort Scale for Postoperative Lung Cancer Patients

“…The rapid development of imaging and minimally invasive surgery in China has allowed lung cancer patients to receive an earlier diagnosis and undergo less invasive procedures, leading to extended patient survival and reduced hospitalization costs and length of stay [15][16][17]. However, as people have raised their expectations for the comfort of hospitalization, the primary challenge facing thoracic surgeons has shifted from simply prolonging patients' lives to ensuring a better quality of life for patients while also extending their lifespan [17][18][19]. In light of these advancements, medical professionals and researchers in China are actively exploring the field of accelerated rehabilitation and have achieved significant progress [20,21].…”

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

“…With the improvement of anesthesia and minimally invasive surgical techniques, day surgery has become a comparatively safe medical model [4]. Day surgery refers to the discharge of a patient undergoing surgical treatment in the morning on postoperative day 1 (POD1) through a preoperatively planned and accurately assessed surgical procedure [5]. Therefore, we need to make better clinical decisions for these individuals before admission to the hospital.…”