Background: The types and number of day surgery are increasing, what is the result of day surgery of selected patients with lung cancer? To explore the operation process and clinical effect of day surgery in patients with lung cancer by fusing the concept of enhanced recovery after surgery (ERAS) and minimally invasive surgical techniques.
Methods: A prospective study was planned with the approval of our institutional review board. 153 lung cancer patients who underwent anatomic resection in a single medical group between June 2019 and Nov 2019 were randomized. 20 patients were applied day surgery and 28 patients by inpatient surgery and the average length of stay, average hospital cost , complications and adverse reactions were analysed.
Results: The average hospital day in DSG group (1 d) was significantly shorter than in ISG group (7.7±2.8) d (P=0.000). The average hospital cost in DSG group (38,297.3±3,408.7)¥ was significantly lower than in ISG group (47,831.1±7,376.1)¥ (P=0.000). There was no significant difference in the incidence of postoperative complications between the daytime surgery group (5.0%) and the inpatient surgery group (3.6%) (P=0.812). The postoperation adverse reactions in DSG (10.0%) and ISG (17.9%) is no difference (P=0.72).
Conclusions: Our study showed that the same clinical effect achieved between DSG and ISG, and recover quickly lung cancer patients after day surgery.
【中文题目：肺癌日间手术操作流程与临床应用效果分析】 【中文摘要：背景与目的 日间手术的种类和数量在不断扩大，部分经过选择的肺癌患者进行日间手术，临床效果如何？基于加速康复外科（enhanced recovery after surgery, ERAS）理念和外科微创技术，探索肺癌患者日间手术的操作流程及其临床应用效果。方法 选取2019年6月-2019年11月四川大学华西胸外科单个医疗组连续收治行肺手术患者150例，最终纳入研究患者48例，其中住院手术（inpatient surgery group, ISG）患者28例和日间手术患者（day surgery group, DSG）20例。分析两组患者平均住院日、住院费用及并发症等。结果 平均住院日在日间手术组（1 d）显著低于住院手术组（7.7±2.8）d（P=0.000）；平均住院费用在日间手术组（38,297.3±3408.7）¥显著低于住院手术组（47,831.1±7376.1）¥（P=0.000）。术后总体并发症发生率在日间手术组（5.0%）与住院手术组（3.6%）无统计学差异（P=0.812）。术后总体不良反应发生率日间手术组（10.0%）与住院手术组（17.9%）无统计学差异（P=0.729）。结论 经过选择的肺癌患者行日间手术是可行的且能够加速康复。】 【中文关键词：日间手术；住院手术；加速康复；肺癌】.
Keywords: Day surgery; Enhanced recovery after surgery; Inpatient surgery; Lung neoplasms.