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Review
. 2018 Mar;10(Suppl 4):S535-S541.
doi: 10.21037/jtd.2017.12.82.

Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation

Antonio D'Andrilli  1 , Domenico Massullo  2 , Erino A Rendina  1
Affiliations
Review

Enhanced recovery pathways in thoracic surgery from Italian VATS Group: preoperative optimisation

Antonio D'Andrilli et al. J Thorac Dis. 2018 Mar.

Abstract

Preoperative patient optimisation is a key point of enhanced recovery after thoracic surgery pathways. This could be particularly advantageous when considering video-assisted thoracic surgery (VATS) lobectomy, because reduced trauma related to minimally invasive techniques is one of the main factors favouring improved postoperative outcome. Main specific interventions for clinical optimisation before major lung resection include assessment and treatment of comorbidities, minimizing preoperative hospitalization, optimisation of pharmacological prophylaxis (antibiotic and thromboembolic) and minimizing preoperative fasting. Literature data and clinical evidences in this setting are reported and discussed.

Keywords: Video-assisted thoracic surgery (VATS); fast-track surgery; lobectomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

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