Two hundred patients underwent VATDS with an acceptable 24-hour discharge rate.
![body fluid compartments calculations body fluid compartments calculations](https://resources.wfsahq.org/wp-content/uploads/184_Table_1.jpg)
The median VAS was 3 points (range 1 to 7 points), and the rate of PPCs was 11.50%. Thirteen patients were transferred to the thoracic surgery ward for further treatment because of PPCs. The mean LOS of the 200 patients was 1.25☐.95 days, and 187 (93.50%) patients were discharged within 24 hours as planned. A total of 158 (79.00%) patients were diagnosed with lung adenocarcinoma, 35 (17.50%) were diagnosed with chronic inflammation with fibrous hyperplasia, and seven (3.50%) were diagnosed with granulomatous inflammation with necrosis.
![body fluid compartments calculations body fluid compartments calculations](https://4.bp.blogspot.com/-xADM1eWADkY/U4X3cXV3egI/AAAAAAAAADM/MkxQ_UocXSU/s1600/Fluid+compartments.png)
There were 45 male and 155 female patients with a median age of 43 years (range 18 to 58 years). The medical records of these 200 patients were reviewed for age, sex, preoperative history, operative and pathological findings, amount of daily chest tube drainage, procedure method and duration, length of stay (LOS), visual analog scale (VAS), and postoperative pulmonary complications (PPCs). We reviewed our experience with 200 patients who underwent video-assisted thoracoscopic day surgery (VATDS) at the Day Surgery Center at West China Hospital to identify the safety and feasibility of VATDS and assess the value of novel management in patients with pulmonary nodules.īetween June 2019 and December 2020, 200 patients with pulmonary nodules underwent VATDS at the Day Surgery Center at West China Hospital. These results indicate the safety and feasibility of VATDS for a group of highly selected patients with early-stage NSCLC. However, the average hospital cost and drug cost of the DSG were significantly lower than those of the ISG ( p < 0.001).Ĭonclusion: The study indicated that the implementation of VATDS showed no difference in PPCs, but resulted in shorter in-hospital stays, shorter drainage times, and lower hospital costs than inpatient surgery. No difference was observed in the cost of equipment and materials between the two groups ( p = 0.333). 24.11 ± 5.23 h, p < 0.001) were found, while the drainage volume per hour (mL/h) was not notably divergent between the relevant groups ( p = 0.312). In the DSG, a shorter length of stay (LOS) after surgery (1.47 ± 1.09 vs. With respect to the postoperative complications (PPCs), no difference between the two groups was found (DSG vs. Results: The 24-h discharge rate in the DSG was 93.38% (127/136). In total, 353 individuals were included after propensity score matching (PSM) with 136 individuals in the day surgery group (DSG) and 217 individuals in the inpatient surgery group (ISG). Methods: Data obtained from the selected patients with NSCLC who underwent video-assisted thoracoscopic surgery (VATS) in the same medical group were analyzed and a single-center, propensity-matched cohort study was performed.
![body fluid compartments calculations body fluid compartments calculations](https://upload.medbullets.com/topic/115003/images/071917mdstep1renalbodyvolume.jpg)
The limits of agreement comparing external blood loss with the estimates from the equations ranged from - 1655.6 to 1459.2 in the case of the CRYS 1.5 equation to - 839.6 to 1008.4 in the case of the traditional equation.įor use in clinical practice, haematological index-based equations, regardless of whether they consider fluids administered, do not show sufficiently strong correlations with gravimetric estimates of intraoperative blood loss.īackground and Objective: This study was undertaken to evaluate how safe and viable the use of video-assisted thoracoscopic day surgery (VATDS) is for individuals diagnosed with early-stage non-small cell lung cancer (NSCLC). Comparing these results, we found low levels of agreement (based on ICCs), except when using the traditional equation (ICC: 0.517). The mean blood loss estimated using the gravimetric method was 513.7 ± 421.7 mL, while estimates calculated using the CRYS 3.5, CRYS 1.5 and traditional equations were 737.2 ± 627.4, 420.8 ± 636.2 and 603.4 ± 386.3 mL, respectively. Additionally, intraclass correlation coefficients (ICCs) and Bland-Altman plots were used. We compared blood loss estimates obtained using the gravimetric method (weighing gauzes and pads and measuring volumes of blood collected by suction during surgery) and using three different equations, two of which considered intravenous fluids (CRYS 3.5 and 1.5) and a third which did not (the traditional equation). Although several equations have been proposed for this purpose, there is no consensus on the most suitable.Ī cross-sectional study was conducted in seven secondary and tertiary hospitals between March and July 2018 including all patients undergoing total hip arthroplasty or hip prosthesis replacement under general or regional anaesthesia. Among various methods for estimating blood loss, the gravimetric method is the most accurate however, its use in routine practice is complicated.