Discharging Patients by Postoperative Day One After Robotic Anatomic Pulmonary Resection

被引:15
|
作者
Geraci, Travis C. [1 ]
Chang, Stephanie H.
Chen, Stacey
Ferrari-Light, Dana
Cerfolio, Robert J.
机构
[1] New York Univ, Dept Cardiothorac Surg, Langone Hlth, 530 1st Ave,Ste 9V, New York, NY 10016 USA
来源
ANNALS OF THORACIC SURGERY | 2022年 / 114卷 / 01期
关键词
LENGTH-OF-STAY; LOBECTOMY; SOCIETY;
D O I
10.1016/j.athoracsur.2021.06.088
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BACKGROUND Our objective is to assess the feasibility and safety of discharging patients by postoperative day one (POD1) after robotic segmentectomy and lobectomy, and to describe outcomes for patients. METHODS A retrospective analysis was made of a prospectively collected database of a quality improvement initiative by a single surgeon. Factors associated with discharge by POD1 were evaluated using a multivariate logistic regression model. RESULTS From January 2018 to July 2020, of 253 patients who underwent robotic anatomic pulmonary resection, 134 (53%) were discharged by POD1, 67% after segmentectomy and 41% after lobectomy. Discharge by POD1 improved with experience and was achieved in 97% of patients after segmentectomy and 68% after lobectomy in the final quartile. Thirty-one patients (12%) were discharged home with a chest tube, including 7 (2.8%) on POD1. On multivariate analysis, never smokers and segmentectomy were associated with discharge by POD1. Conversely, decreased baseline performance status and perioperative complications were associated with discharge after POD1. There were 10 minor morbidities (4%), 6 major morbidities (2.4%), and no 30-or 90-day mortality. There were 4 readmissions (1.6%), of which 1 (0.4%) was after POD1 discharge. Patient satisfaction remained high throughout the study period. CONCLUSIONS With experience and communication, select patients can be discharged home on POD1 after robotic segmentectomy and lobectomy with excellent outcomes and high satisfaction. Discharge by POD1 was associated with never smokers and segmentectomy, and inversely associated with decreased baseline performance status and perioperative complications. (C) 2022 by The Society of Thoracic Surgeons.
引用
收藏
页码:234 / 240
页数:7
相关论文
共 50 条
  • [21] Impact of interstitial lung disease on postoperative morbidity and 90-day mortality after pulmonary resection
    Shao, Weipeng
    Huang, Jingjing
    Feng, Hongxiang
    Sun, Hongliang
    Ren, Yanhong
    Wang, Xiaowei
    Zhang, Zhenrong
    Liu, Deruo
    [J]. TRANSLATIONAL CANCER RESEARCH, 2020, 9 (02) : 1151 - 1159
  • [22] Technical and operational modifications required for evolving robotic programs performing anatomic pulmonary resection
    Smood B.
    Ghanim A.
    Wei B.
    Cerfolio R.J.
    [J]. Journal of Robotic Surgery, 2018, 12 (3) : 529 - 534
  • [23] CONSISTENCY OF ONE DAY STAY AFTER ROBOTIC PROSTATECTOMY
    Modi, A.
    Bahnson, R. R.
    Abaza, R.
    [J]. JOURNAL OF ENDOUROLOGY, 2010, 24 : A187 - A188
  • [24] Predictive value of drain fluid amylase level on postoperative day one after pancreatic resection for predicting postoperative pancreatic fistula
    Buyukkasap, Ahmet Cagri
    Dikmen, Kursat
    Yavuz, Aydin
    Altiner, Saygin
    Gobut, Huseyin
    Emral, Ahmet Cihangir
    Bostanci, Hasan
    Kerem, Mustafa
    [J]. TURKISH JOURNAL OF SURGERY, 2024, 40 (01) : 19 - 27
  • [25] POSTOPERATIVE HEMORRHAGE AFTER PULMONARY RESECTION .2. POSTOPERATIVE HEMORRHAGE FOLLOWING PULMONARY RESECTION AS AN INDICATION FOR SECONDARY THORACOTOMY
    LANGER, J
    [J]. DISEASES OF THE CHEST, 1966, 50 (01): : 34 - &
  • [26] Impact of previous gastrectomy on postoperative pneumonia after pulmonary resection in lung cancer patients
    Kaneda, Hiroyuki
    Nakano, Takahito
    Taniguchi, Yohei
    Saito, Tomohito
    Konobu, Toshifumi
    Saito, Yukihito
    [J]. INTERACTIVE CARDIOVASCULAR AND THORACIC SURGERY, 2012, 14 (06) : 750 - 753
  • [27] Evaluation of acute and chronic pain outcomes after robotic, video-assisted thoracoscopic surgery, or open anatomic pulmonary resection
    Kwon, Sebastian T.
    Zhao, Lili
    Reddy, Rishindra M.
    Chang, Andrew C.
    Orringer, Mark B.
    Brummett, Chad M.
    Lin, Jules
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2017, 154 (02): : 652 - +
  • [28] POSTOPERATIVE PAIN MANAGEMENT AFTER ROBOTIC AND LAPAROSCOPIC COLORECTAL RESECTION.
    Berger, Y.
    Fong, C.
    Imtiaz, S.
    Khajoueinejad, N.
    Park, S.
    Li, T.
    Kim, S.
    Sarpel, U.
    [J]. DISEASES OF THE COLON & RECTUM, 2022, 65 (05) : 191 - 191
  • [29] RESPIRATORY GAS EXCHANGE IN PATIENTS UP TO ONE YEAR AFTER PULMONARY RESECTION
    SWENSON, EW
    BIRATH, G
    BERGH, NP
    BERGLUND, E
    [J]. ACTA TUBERCULOSEA ET PNEUMOLOGICA SCANDINAVICA, 1962, 41 (03): : 216 - &
  • [30] Sensitivity of lung ultrasound for the detection of pneumothorax one day after pulmonary resection—a prospective observational study
    Thomas Galetin
    Mark Schieren
    Benjamin Marks
    Jerome Defosse
    Erich Stoelben
    [J]. European Surgery, 2021, 53 : 23 - 28