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Effects of mobilization within the first 4 h following anatomical lung resection with thoracotomy

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Abstract

Thoracic incisions are very painful and complicated incisions. Many analgesic drugs including opioids are used to relieve pain in patients. We hypothesized that early mobilization and patient-centered strategy after lung resection reduce the incidence of perioperative complications and postoperative pain. We conducted a retrospective study on patients who underwent lung resection via thoracotomy and were mobilized in the first 4 h postoperatively. Mobilization was defined as standing and walking at least 100 m from the bed. If orthostatic hypotension occurred, mobilization was postponed for 30 min. Analgesic treatment needs, walking distance, co-morbidity, hospitalization, postoperative complications within 30 days, and drainage and discharge times of patients were analyzed. The lobectomy with thoracotomy was performed in 48 patients. Thirty-six patients were male. The rate of additional systemic diseases was 58.3%. Forty patients walked in the first 3 h postoperatively. The mean walking distance was 140 ± 38.5 m. The rate of orthostatic hypotension was 8.3%. The routine analgesic treatment included intravenous paracetamol 3 g and dexketoprofen 100 mg daily. In this study, 18% of patients received narcotic analgesics. Thromboembolic event and arrhythmia did not develop in any patient. The most common complication was prolonged air leaks (18.8%). Mobilization within the first 4 h following anatomical lung resection is feasible and safe. Early mobilization provided pain relief after lung surgery and reduced the use of narcotic analgesics and cardiovascular complications. The article is the first study about walking in first hours after pulmonary lobectomy with thoracotomy in the thoracic surgery literature.

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All of the study participants provided written permission for us to use their data in the study.

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Authors and Affiliations

  1. Department of Thoracic Surgery, Istinye University, Maltepe Mah., Edirne Cırpıcı Yolu, No.9 Zeytinburnu, 34010, Istanbul, Turkey

    Hatice Eryigit Unaldi

  2. Department of Thoracic Surgery, Medical Park Gebze Hospital, Gebze, Kocaeli, Turkey

    Hatice Eryigit Unaldi

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Correspondence to Hatice Eryigit Unaldi.

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Local institutional review board number: 3/2022.K-74 (Istinye University Ethic Committee for Clinical Studies/Istanbul).

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All the patients provided written consent for us to use their data in the clinical trial.

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Unaldi, H.E. Effects of mobilization within the first 4 h following anatomical lung resection with thoracotomy. Updates Surg 75, 2027–2031 (2023). https://doi.org/10.1007/s13304-023-01617-1

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  • DOI: https://doi.org/10.1007/s13304-023-01617-1

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