2023 World Conference on Lung Cancer (Posters)-EP08.04. Acute Postoperative Pain is the Most Severe at the Site of Chest Tube Insertion in Multiportal Video-assisted Thoracoscopic Surgery

EP08.04. Acute Postoperative Pain is the Most Severe at the Site of Chest Tube Insertion in Multiportal Video-assisted Thoracoscopic Surgery - PDF(Abstract)

Back to course

Pdf Summary

This study aimed to evaluate the postoperative pain experienced by patients undergoing multi-portal video-assisted thoracoscopic surgery (VATS) for lung resection. The researchers conducted a single-institution prospective observational study and collected data on the intensity and location of postoperative pain every day until discharge and on designated days after discharge. The patients were stratified according to the operative procedure (lobectomy/segmentectomy or partial resection).<br /><br />The results showed that the presence of pain was most frequently reported on the first postoperative day and decreased over time. The numeric rating scale (NRS) at the sites of greatest pain also decreased significantly over time. The NRS at the site of chest tube insertion (caudal side) on the first postoperative day was significantly higher than at other sites. There was a significant difference in the NRS at the site of maximum pain between the day of drain removal and the day after drain removal.<br /><br />Based on these findings, the researchers concluded that the caudal wound (chest tube insertion site) was associated with the strongest pain in multi-portal VATS. Pain significantly improved after the chest tube was removed. They recommend using a combination of local analgesic techniques to achieve better pain control in postoperative management after multi-portal VATS.<br /><br />This study highlights the significance of postoperative pain in patients undergoing multi-portal VATS for lung resection. It suggests that strategies to reduce pain at the chest tube insertion site should be prioritized to enhance patient comfort and quality of life.

Asset Subtitle

Yoshifumi Sano

Meta Tag

Speaker Yoshifumi Sano

Topic Local-Regional NSCLC: Toxicities of Multimodality Therapy

Keywords

postoperative pain

multi-portal VATS

lung resection

observational study

intensity of pain

location of pain

numeric rating scale

chest tube insertion

pain management

patient comfort