ArticleThoracic cancer2018
Improvement of recovery parameters using patient-controlled epidural analgesia for video-assisted thoracoscopic surgery lobectomy in enhanced recovery after surgery: A prospective, randomized single center study.
Article in Thoracic cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Epidural Analgesia Versus Systemic Opioids for Postoperative Pain Management After VATS: A Systematic Review and Meta-Analysis.Acta anaesthesiologica Scandinavica · 2025Pooled it
- PROSPECT guidelines for video-assisted thoracoscopic surgery: a systematic review and procedure-specific postoperative pain management recommendations.Anaesthesia · 2022Pooled it
- Patient-controlled intravenous analgesia with opioids after thoracoscopic lung surgery: a randomized clinical trial.BMC anesthesiology · 2022Trial
- Continuous Paravertebral Analgesia versus Continuous Epidural Analgesia after Video-Assisted Thoracoscopic Lobectomy for Lung Cancer: A Randomized Controlled Trial.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2021Trial
- Intercostal block vs. epidural analgesia in thoracoscopic lung cancer surgery: a randomized trial.General thoracic and cardiovascular surgery · 2020Trial
- Trial
- Modified continuous intercostal nerve block for postoperative analgesia after uniportal thoracoscopic surgery.BMC surgery · 2025Article
- Bayesian Network Meta-Analysis of Postoperative Analgesic Techniques in Thoracoscopic Lung Resection Patients.Pain and therapy · 2025Review
- [Perioperative pain therapy in minimally invasive thoracic surgery].Die Anaesthesiologie · 2023Review
- Accuracy Evaluation Trial of Mixed Reality-Guided Spinal Puncture Technology.Therapeutics and clinical risk management · 2023Article
- Do we still need thoracic epidural analgesia in minimally invasive lung surgery?Journal of thoracic disease · 2022Article
- Utilization of Supplemental Regional Anesthesia in Lobectomy for Lung Cancer in the United States: A Retrospective Study.Journal of chest surgery · 2022Article
- Intravenous patient-controlled analgesia plus psychoeducational intervention for acute postoperative pain in patients with pulmonary nodules after thoracoscopic surgery: a retrospective cohort study.BMC anesthesiology · 2021Article
- The Effect of Oblique Lumbar Interbody Fusion Compared with Transforaminal Lumbar Interbody Fusion Combined with Enhanced Recovery after Surgery Program on Patients with Lumbar Degenerative Disease at Short-Term Follow-Up.BioMed research international · 2021Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe compared the effects of thoracic epidural analgesia (TEA) to conventional patient-controlled analgesia (PCA) on several postoperative parameters of recovery after elective video-assisted thoracoscopic (VATS) lobectomy.
methodsNinety-eight patients undergoing elective VATS lobectomy were enrolled. The primary endpoint was pain score. Recovery of bowel function, length of stay in the postanesthesia care unit (PACU), duration of postoperative hospital stay, and complications were assessed. Continuous variables were expressed and compared between groups using either a two-tailed Student's t or Mann-Whitney U test. Recovery of bowel function was compared using the log-rank test.
resultsBaseline characteristics between the groups were similar. Dynamic pain scores on postoperative days (PODs) 0-2 were significantly lower in the TEA group, as were resting pain scores on PODs 1 and 2 (P < 0.05). The mean duration to first flatus (16 ± 0.7 vs. 26 ± 0.7 hours; P < 0.001) and the mean length of stay in the PACU (34 vs. 67 minutes; P = 0.027) were shorter in the TEA compared to the PCA group, respectively. The only difference in postoperative complications was regarding confusion (5 TEA vs. 18 PCA patients; P = 0.002). No difference in overall length of stay was noted.
conclusionsCompared to PCA, TEA provided better postoperative pain control after VATS lobectomy and facilitated postoperative recovery of bowel function without increasing the length of hospital stay. This beneficial effect of TEA might be attributed to the attenuation of sympathetic hyperactivation, improved analgesia, and reduced opioid use.
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