Enhanced recovery after lung cancer surgery: a prospective cohort study of individualized perioperative management
- 1Department of Thoracic Surgery, Tangshan People’s Hospital, Tangshan, Hebei, China
Abstract
INTRODUCTION:: Enhanced Recovery After Surgery (ERAS) protocols are increasingly used in lung cancer surgery (LCS), but evidence regarding individualized ERAS–based perioperative management remains limited.
AIM:: This study evaluated the effectiveness of individualized ERAS–based perioperative management in improving postoperative recovery, reducing complications, and enhancing patient satisfaction following radical LCS.
MATERIALS AND METHODS:: A total of 138 patients undergoing radical LCS were allocated to either conventional perioperative nursing care (n = 69) or individualized ERAS–based perioperative management (n = 69). The outcomes associated with postoperative recovery included ambulation, gastrointestinal recovery, oral intake, chest tube drainage duration, and length of hospital stay (LOS). Additionally, postoperative pain, complications, and patient satisfaction were evaluated.
RESULTS:: The individualized ERAS-based perioperative management group showed earlier postoperative ambulation, faster gastrointestinal recovery, earlier oral intake, shorter chest tube duration, lower postoperative pain scores, and reduced LOS, as compared with the controls (P <0.001). The overall postoperative complication rate was lower in the individualized ERAS–based perioperative management cohort than in the control group (13% vs 26.1%; P = 0.048). Multivariable linear regression demonstrated that individualized ERAS–based perioperative management was independently associated with shorter LOS (β = −1.42; 95% CI, −2.17 to −0.68; P <0.001).
CONCLUSIONS:: Individualized ERAS–based perioperative management was associated with earlier postoperative recovery, lower postoperative pain, a lower overall postoperative complication rate, and shorter LOS, as compared with conventional perioperative care. These findings support further prospective evaluation of individualized ERAS–based strategies in patients undergoing LCS.
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BibTeX
@article{li2026enhanced,
title = {{Enhanced recovery after lung cancer surgery: a prospective cohort study of individualized perioperative management}},
author = {Xiangnan Li and Bin Wang and Fang Qi and Yan Wang and Jing Zhang and Liping Zhang},
journal = {Videosurgery and other Miniinvasive Techniques},
year = {2026},
month = oct,
doi = {10.20452/wiitm.2026.18049},
url = {https://doi.org/10.20452/wiitm.2026.18049},
note = {CC BY-NC-SA 4.0},
}
RIS
TY - JOUR
TI - Enhanced recovery after lung cancer surgery: a prospective cohort study of individualized perioperative management
AU - Xiangnan Li
AU - Bin Wang
AU - Fang Qi
AU - Yan Wang
AU - Jing Zhang
AU - Liping Zhang
PY - 2026
DA - 2026/10/27
JO - Videosurgery and other Miniinvasive Techniques
DO - 10.20452/wiitm.2026.18049
UR - https://doi.org/10.20452/wiitm.2026.18049
AB - INTRODUCTION:: Enhanced Recovery After Surgery (ERAS) protocols are increasingly used in lung cancer surgery (LCS), but evidence regarding individualized ERAS–based perioperative management remains limited. AIM:: This study evaluated the effectiveness of individualized ERAS–based perioperative management in improving postoperative recovery, reducing complications, and enhancing patient satisfaction following radical LCS. MATERIALS AND METHODS:: A total of 138 patients undergoing radical LCS were allocated to either conventional perioperative nursing care (n = 69) or individualized ERAS–based perioperative management (n = 69). The outcomes associated with postoperative recovery included ambulation, gastrointestinal recovery, oral intake, chest tube drainage duration, and length of hospital stay (LOS). Additionally, postoperative pain, complications, and patient satisfaction were evaluated. RESULTS:: The individualized ERAS-based perioperative management group showed earlier postoperative ambulation, faster gastrointestinal recovery, earlier oral intake, shorter chest tube duration, lower postoperative pain scores, and reduced LOS, as compared with the controls (P <0.001). The overall postoperative complication rate was lower in the individualized ERAS–based perioperative management cohort than in the control group (13% vs 26.1%; P = 0.048). Multivariable linear regression demonstrated that individualized ERAS–based perioperative management was independently associated with shorter LOS (β = −1.42; 95% CI, −2.17 to −0.68; P <0.001). CONCLUSIONS:: Individualized ERAS–based perioperative management was associated with earlier postoperative recovery, lower postoperative pain, a lower overall postoperative complication rate, and shorter LOS, as compared with conventional perioperative care. These findings support further prospective evaluation of individualized ERAS–based strategies in patients undergoing LCS.
SN - 1895-4588
SN - 2299-0054
ER -