Clinical study of thoracoscopic lobectomy combined with ERAS in the treatment of non-small cell lung cancer

Objective:To investigate the application effects of the concept of enhanced recovery after surgery(ERAS) in non-small cell lung cancer patients treated with thoracoscopic lobectomy.Methods:Fifty non-small cell lung cancer patients scheduled by thoracoscopic lobectomy were randomly divided into the control group(25 cases) and observation group(25 cases).The control group were treated with simple thoracoscopic surgery,and the observation group was treated with thoracoscopic radical surgery combined with ERAS.The incidence rates of lung infection after operation,atelectasis and pleural effusion,degree of pain,postoperative hospital ization time,and total hospitalization expense between two groups were compared.Results:The pain scores in observation group were significantly lower than that in control group after 1 hour,6 hours and 12 hours of operation(P<0.05),and the difference of the intra-group comparison was not statistically significant(P>0.05).The incidence rate of postoperative complication in observation group(4%) was significantly lower than that in control group(20%)(P<0.05).The postoperative hospitalization time in observation group was significantly shorter than that in control group(P<0.05).Conclusions:The application of thoracoscopy combined with ERAS in treating non-small cell lung cancer can effectively promote the postoperative rehabilitation,reduce complications,shorten hospitalization time and reduce hospitalization expense,which is worthy of further clinical application.