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Does an Enhanced Recovery Program for Lobectomy Improve Surgical Outcomes?

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Difficult Decisions in Thoracic Surgery

Part of the book series: Difficult Decisions in Surgery: An Evidence-Based Approach ((DDSURGERY))

Abstract

Enhanced recovery after surgery focuses on minimizing psychological and physiological stress to patients as they progress along their surgical journey. The goal is to return to normal functional status as soon as possible and involves pre-, intra- and postoperative interventions. The main goal of enhanced recovery is an optimization of pain after surgery, using opioid sparing strategies that address the pain at all level of the pain pathways from the nociceptor initial site to the central pain receptors in the brain. These strategies have resulted in a better patient experience but also showed that the size of the incision is not a factor in patient’s recovery any longer. The focus of this review is to analyze the data supporting these findings and review the impact on traditional surgical outcomes and fitness for additional cancer treatment in an oncological setting.

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Author information

Authors and Affiliations

  1. Thoracic Cardiovascular Surgery, University of Virginia, Charlottesville, VA, USA

    Linda W. Martin

  2. Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX, USA

    Reza J. Mehran

Authors
  1. Linda W. Martin
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  2. Reza J. Mehran
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Corresponding author

Correspondence to Linda W. Martin .

Editor information

Editors and Affiliations

  1. Department of Surgery, University of Chicago, Chicago, IL, USA

    Mark K. Ferguson

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Martin, L.W., Mehran, R.J. (2020). Does an Enhanced Recovery Program for Lobectomy Improve Surgical Outcomes?. In: Ferguson, M. (eds) Difficult Decisions in Thoracic Surgery. Difficult Decisions in Surgery: An Evidence-Based Approach. Springer, Cham. https://doi.org/10.1007/978-3-030-47404-1_18

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  • DOI: https://doi.org/10.1007/978-3-030-47404-1_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-47403-4

  • Online ISBN: 978-3-030-47404-1

  • eBook Packages: MedicineMedicine (R0)

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