Application effect of different incision surgeries combined with respiratory function exercise under the guidance of enhanced recovery after surgery concept in patients with lung cancer

Objective To explore the efficacy of different incision surgeries combined with respiratory function exercise under the guidance of enhanced recovery after surgery (ERAS) in lung cancer patients.

Methods From January 2020 to December 2022, a total of 200 patients in Taicang Affiliated Hospital of Soochow University were collected and randomly divided into 4 groups, with 50 patients in each group. Patients in group A received single-hole thoracoscopic surgery, preoperative ERAS concept education and respiratory trainer combined with routine respiratory function exercise; patients in group B received subaxillary non-invasive small incision surgery, preoperative ERAS concept education and respiratory trainer combined with routine respiratory function exercise; patients in group C received subaxillary non-invasive small incision surgery, preoperative routine hospitalization education and respiratory function exercise; patients in group D received single-hole thoracoscopic surgery, preoperative routine hospitalization education and respiratory function exercise. The postoperative recovery indicators and postoperative pain score were compared among the four groups.

Results Compared with the other three groups, patients in group A had reduced incidence of pulmonary complications, earlier mobilization, earlier removal of the chest tube and shorter length of hospital stay (P＜0.05); compared with group B and group C, patients in group A had reduced postoperative pain score (P＜0.05). Compared with group C, patients in group B had reduced incidence of pulmonary complications, earlier mobilization, earlier removal of the chest tube and shorter length of hospital stay (P＜0.05). There was no significant difference in postoperative pain score between patients in group A and group D, and patients in group B and group C.

Conclusions For lung cancer patients, single-hole thoracoscopic surgery combined with respiratory function exercise under the guidance of ERAS concept can effectively reduce the incidence of pulmonary complications and postoperative pain, and promote postoperative recovery.