Thực trạng áp dụng quy trình ERAS trong phẫu thuật điều trị ung thư phổi tại Bệnh viện Trung ương Quân đội 108

Abstract

Objective: To describe the current implementation of the Enhanced Recovery After Surgery (ERAS) protocol in patients with lung cancer undergoing surgery at the Department of Thoracic Surgery, 108 Military Central Hospital, from January 2024 to June 2025. Subject and method: A retrospective descriptive study was conducted on 176 patients with lung cancer who underwent surgical treatment at the Department of Thoracic Surgery. Data collected included the proportion of patients managed with the ERAS protocol, length of postoperative hospital stay, chest drainage duration, and postoperative complication rates. Result: The mean age was 61.8 ± 9.2 years; 67.0% were male. Stage IA lung cancer was the most common (40.4%). All patients received preoperative nutritional optimization, prehabilitation, and multimodal postoperative analgesia, of which epidural analgesia accounted for 92.6%. The mean postoperative hospital stay was 4.9 ± 2.1 days, and the mean chest drainage duration was 3.2 ± 1.8 days. The overall postoperative complication rate was 4.6%, with prolonged air leak accounting for 2.3%. Conclusion: The ERAS protocol may be considered a standard of care in lung cancer surgery, contributing to accelerated postoperative recovery, shortened postoperative hospital stay, and reduced postoperative complication rates.