2023 World Conference on Lung Cancer (Posters)-EP07.01. Implementation and Safety of a Same-day Discharge Program for Minimally-invasive Pulmonary Resection

EP07.01. Implementation and Safety of a Same-day Discharge Program for Minimally-invasive Pulmonary Resection - PDF(Abstract)

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This abstract discusses a pilot study that explores the feasibility and safety of implementing a same-day discharge program for patients undergoing minimally invasive lung resection for early-stage non-small cell lung cancer. The study aims to determine if patients can be safely discharged on the same day as their surgical procedure and if the use of virtual recovery after surgery (VRAS) technology can improve patient outcomes and reduce hospital length of stay.<br /><br />The study included patients undergoing thoracoscopic wedge resection for a lung nodule or primary/secondary malignancy. Patients with certain exclusion criteria such as living outside the metropolitan area, lacking social support, and having major comorbidities were not included. Participants were observed for 4 hours postoperatively in recovery, and the chest drain was removed if no leak was detected and vital signs were appropriate. After an additional 6 hours of observation, patients were discharged home and daily nursing assessments were performed using VRAS for the next 7 days.<br /><br />Six patients were discharged on the same day as their procedure, while six patients were admitted and served as controls. The study found that patients discharged on the same day reported higher satisfaction with their recovery compared to those admitted post-procedure. The hospital stay for admitted patients was 45.0 hours, while for discharged patients it was 13.8 hours. One patient in the control group was readmitted, while none of the patients discharged on the same day with VRAS returned to the hospital.<br /><br />The abstract concludes that same-day discharge after minimally invasive lung resection can be accomplished safely and with good patient satisfaction. The use of VRAS technology for post-operative assessments can reduce hospital length of stay and improve patient outcomes. The findings suggest the potential for wider implementation of same-day discharge strategies to benefit lung cancer patients undergoing surgical treatment.

Asset Subtitle

Patrick Villeneuve

Meta Tag

Speaker Patrick Villeneuve

Topic Early-Stage NSCLC: Best Practice

Keywords

same-day discharge

minimally invasive lung resection

non-small cell lung cancer

virtual recovery after surgery

VRAS technology

patient outcomes

hospital length of stay

thoracoscopic wedge resection

post-operative assessments

surgical treatment