TY - JOUR
T1 - Fast-track video-assisted thoracoscopic surgery
T2 - future challenges
AU - Holbek, Bo Laksafoss
AU - Petersen, René Horsleben
AU - Kehlet, Henrik
AU - Jessen Hansen, Henrik
PY - 2016/3/3
Y1 - 2016/3/3
N2 - Objectives To provide a short overview of fast-track video-assisted thoracoscopic surgery (VATS) and to identify areas requiring further research. Design A literature search was made using key words including: fast-track, enhanced recovery, video-assisted thoracoscopic surgery, robot-assisted thoracoscopic surgery (RATS), robotic, thoracotomy, single-incision, uniportal, natural orifice transluminal endoscopic surgery (NOTES), chest tube, air-leak, digital drainage, pain management, analgesia, perioperative management, anaesthesia and non-intubated. References from articles were screened for further articles. Using abstracts, areas of interest for developing a fast-track protocol were selected. Results The minimally invasive approach can be divided into several surgical methods that need further research to establish superiority. The role of intubation has to be further examined as well as the role of chest drains. Multimodal analgesic treatment including preoperative methylprednisolone seems promising and requires further research. Conclusions The fast-track data from other procedures may support future development and improvement of fast-track VATS.
AB - Objectives To provide a short overview of fast-track video-assisted thoracoscopic surgery (VATS) and to identify areas requiring further research. Design A literature search was made using key words including: fast-track, enhanced recovery, video-assisted thoracoscopic surgery, robot-assisted thoracoscopic surgery (RATS), robotic, thoracotomy, single-incision, uniportal, natural orifice transluminal endoscopic surgery (NOTES), chest tube, air-leak, digital drainage, pain management, analgesia, perioperative management, anaesthesia and non-intubated. References from articles were screened for further articles. Using abstracts, areas of interest for developing a fast-track protocol were selected. Results The minimally invasive approach can be divided into several surgical methods that need further research to establish superiority. The role of intubation has to be further examined as well as the role of chest drains. Multimodal analgesic treatment including preoperative methylprednisolone seems promising and requires further research. Conclusions The fast-track data from other procedures may support future development and improvement of fast-track VATS.
U2 - 10.3109/14017431.2015.1114665
DO - 10.3109/14017431.2015.1114665
M3 - Journal article
C2 - 26514281
SN - 1401-7458
VL - 50
SP - 78
EP - 82
JO - Scandinavian Cardiovascular Journal, Supplement
JF - Scandinavian Cardiovascular Journal, Supplement
IS - 2
ER -