肺癌加速康复外科的发展现状及展望

Current status and prospective of enhanced recovery after surgery management system in lung cancer

加速康复外科(ERAS)是围手术期多模式的优化方案,通过术前、术中和术后一系列有循证医学证据的优化措施达到减少术后并发症、减轻疼痛、缩短住院时间的目的。该理念涵盖了微创理念、各种临床技术的综合运用和多学科合作,已在众多外科手术中应用,且取得了较好的临床效果。该文介绍了ERAS的概念和发展现状,总结了ERAS在国内外肺癌临床诊疗中的应用,并分享了浙江大学医学院附属第一医院胸外科的肺癌ERAS多环节全程管理体系。

Enhanced recovery after surgery （ERAS） is an optimizing scheme in peroperativeperiod, which aimed to reduce postoperative complications and pain, and shorten the time ofhospitalization through a series of optimizing measures of evidence-based medicine in preoperative, intraoperative and postoperative period. ERAS contains t^he application of minimal-invasive surgery, multiple clinical technologies and multidisciplinary collaboration. ERAShas now been extended to alldepartments of surgery, and there is a significant health economic value in ERAS. This current studywill summarize the application status and prospective of ERAS in lung cancer diagnosis and treatment.The concept of ERAS and summary of its development ; the application of ERAS in lung cancer diagnosis and treatment; the introduction of multipleprocedure system of ERAS in department of thoracic surgery in the First affiliated hospital of Zhejiang University.