Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2018 Feb 5:5:14.
doi: 10.3389/fmed.2018.00014. eCollection 2018.

Enhanced Recovery in Thoracic Surgery: A Review

Affiliations
Review

Enhanced Recovery in Thoracic Surgery: A Review

Vesna D Dinic et al. Front Med (Lausanne). .

Abstract

The main goal of enhanced recovery program after thoracic surgery is to minimize stress response, reduce postoperative pulmonary complications, and improve patient outcome, which will in addition decrease hospital stay and reduce hospital costs. As minimally invasive technique, video-assisted thoracoscopic surgery represents an important element of enhanced recovery program in thoracic surgery. Anesthetic management during preoperative, intraoperative and postoperative period is essential for the enhanced recovery. In the era of enhanced recovery protocols, non-intubated thoracoscopic procedures present a step forward. This article focuses on the key elements of the enhanced recovery program in thoracic surgery. Having reviewed recent literature, the authors highlight potential procedures and techniques that might be incorporated into the program.

Keywords: enhanced recovery; enhanced recovery after surgery; thoracic anesthesia; thoracic surgery; video-assisted thoracoscopic surgery.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The elements of enhanced recovery protocol in thoracic surgery.

Similar articles

Cited by

References

    1. Jakobson T, Karjagin J, Vipp L, Padar M, Parik AH, Starkopf L. Postoperative complications and mortality after major gastrointestinal surgery. Medicina (Kaunas) (2014) 50(2):111–7.10.1016/j.medici.2014.06.002 - DOI - PubMed
    1. Laursen LØ, Petersen RH, Hansen HJ, Jensen TK, Ravn J, Konge L. Videoassisted thoracoscopic surgery lobectomy for lung cancer is associated with a lower 30-day morbidity compared with lobectomy by thoracotomy. Eur J Cardiothorac Surg (2016) 49(3):870–5.10.1093/ejcts/ezv205 - DOI - PubMed
    1. Handy JJR, Asaph JW, Skokan L, Reed CE, Koh S, Brooks G, et al. What happens to patients undergoing lung cancer surgery? Outcomes and quality of life before and after surgery. Chest (2002) 122(1):21–30.10.1378/chest.122.1.21 - DOI - PubMed
    1. Patel AS, Bergman A, Moore BW, Haglund U. The economic burden of complications occurring in major surgical procedures: a systematic review. Appl Health Econ Health Policy (2013) 11(6):577–92.10.1007/s40258-013-0060-y - DOI - PubMed
    1. Brunelli A. Enhanced recovery after surgery in thoracic surgery: the past, the present and the future. Video Assist Thorac Surg (2017) 2:37.10.21037/vats.2017.07.02 - DOI