Abstract
Thoracoscopic partial resection of the lung (TPR) has been developed to be a safe procedure . This technique will be applicable to day surgery (DS) in the near future. The aim of this retrospective study was to clarify indication criteria for DS in TPR. Forty-seven patients representing performance status 0-1 and undergoing TPR between January1994 and August 2001 were enrolled in this study. Those who had started oral intake and were free from chest drainage tube, urinary catheter and oxygenation, and finally able to walk alone at 24 hours after operation were retrospectively considered to be eligible for day surgery (DS group; 21 patients). Twenty-six patients were considered to be non-DS group.rUnivariate analysis indicated that abnormal respiratory function, diffuse respiratory disease, and body mass index>27 or<17 were significant risk factors for DS (all p<0.05). In summary, 45% of patients were assessed to be able to be discharged from hospital within 24 hours after operation. Indication criteria for day surgery were, first, absence of diffuse pulmonary disease, second, normal pulmonary function, and third, body mass index between 17 and 27.
