Effect of preoperative evaluation on the prevention of postoperative ipsilateral shoulder pain in patients undergoing thoracoscopic surgery

doi:10.13418/j.issn.1001-165x.2024.2.18

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Chinese Journal of Clinical Anatomy ›› 2024, Vol. 42 ›› Issue (2) : 220-224. DOI: 10.13418/j.issn.1001-165x.2024.2.18

Effect of preoperative evaluation on the prevention of postoperative ipsilateral shoulder pain in patients undergoing thoracoscopic surgery

Lin Yixin^1,2, Lin Zishi³, Liu Weishan¹, Ye Jing^2,3*

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Abstract

Objective To investigate the efficacy of Oxford Shoulder Score（OSS）for preventing postoperative ipsilateral shoulder pain (ISP) in patients undergoing thoracoscopic surgery. Methods A total of 500 patients who underwent selective thoracoscopic surgery in the lateral position with general anesthesia were enrolled. Complete OSS data were questioned using in-depth interviews in the afternoon before the operation and the first postoperative day, and telephone was follow-up at 4-6 weeks after the operation. Special protections and statistical analysis were designed for the patients with preoperative OSS ≥19. Results A total of 465 patients were included in the study, 16 cases presented ISP with a longer operative duration and higher postoperative OSS compared to those without ISP, and shown limitation of range of motion of ipsilateral shoulder in the first postoperative day (P<0.05 or 0.01). However, 9 cases with preoperative OSS ≥19 didn’t develop ISP. Conclusions The protective procedures of the lateral posture can minimize postoperative ISP for the patients with a high preoperative OSS.

Key words

Thoracoscopic surgery; / / Postoperative ipsilateral shoulder pain; / / Oxford Shoulder Score

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Lin Yixin, Lin Zishi, Liu Weishan, Ye Jing. Effect of preoperative evaluation on the prevention of postoperative ipsilateral shoulder pain in patients undergoing thoracoscopic surgery[J]. Chinese Journal of Clinical Anatomy. 2024, 42(2): 220-224 https://doi.org/10.13418/j.issn.1001-165x.2024.2.18

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