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(Slides)

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A single-center prospective study conducted in Japan evaluated postoperative pain in patients undergoing multiportal video-assisted thoracoscopic surgery (VATS). The study aimed to identify the site and severity of postoperative pain and explore methods to manage it effectively.<br /><br />The study included patients who underwent 3-port VATS surgery at a university hospital. Patient data, including age, sex, diagnosis, surgical details, intraoperative and postoperative complications, chest tube drainage, and length of hospital stay, were collected. The primary endpoint was to identify the site of maximum postoperative pain on various postoperative days. The secondary endpoint was to evaluate the Numeric Rating Scale (NRS) score of the site of maximum pain.<br /><br />The results showed that the presence of pain was highest on the first postoperative day and decreased over time. The caudal area where the chest tube was inserted had the highest NRS score on the first postoperative day. There was a significant difference in the NRS score at the site of maximum pain between the day of chest tube removal and the following day.<br /><br />Based on these findings, the authors concluded that the caudal wound, where the chest tube was inserted, was associated with the most severe pain after multiportal VATS surgery. They suggested using a combination of local analgesia and neuroleptic techniques to achieve better pain control in postoperative management.<br /><br />In summary, this study identified the site and severity of postoperative pain in patients undergoing multiportal VATS surgery. The caudal wound was found to be the most painful site, and pain intensity decreased over time. The authors recommended implementing strategies for pain management to improve patient outcomes after surgery.

Asset Subtitle

Yoshifumi Sano

Meta Tag

Speaker Yoshifumi Sano

Topic Local-Regional NSCLC: Toxicities of Multimodality Therapy

Keywords

postoperative pain

multiportal VATS surgery

site of maximum pain

severity of pain

pain management

chest tube insertion

Numeric Rating Scale

caudal wound

local analgesia

neuroleptic techniques