[Current Situation and Strategy of Day Surgery in Patients with Lung Cancer by Enhanced Recovery after Surgery]

Zhongguo Fei Ai Za Zhi. 2020 Jan 20;23(1):1-4. doi: 10.3779/j.issn.1009-3419.2020.01.01.
[Article in Chinese]

Abstract

It is time to review the current clinical treatment concepts and operational procedures that the changes of enhanced recovery after surgery (ERAS) theory, surgical instruments and disease treatment types. It is support of theoretical and technical of ERAS concept from rise to perfection for day surgery with complex but low risk operation. Combined with the recent clinical practice at home and abroad, this study review the problems and measures of day surgery in patients with lung cancer. First, the necessity and feasibility of patients with lung cancer undergoing day surgery instead of inpatient surgery. Second, establishment of day surgery team and platform in lung cancer surgery. Third, operational procedures and perioperative management of day surgery need to be optimized. Fourth, the "graded diagnosis and treatment-day surgery" model was used to ensure patient safety. Fifth, Clinical application prospect of ambulatory surgery for lung cancer.

【中文题目:加速康复外科:肺癌手术日间化现状与策略】 【中文摘要:加速康复外科(enhanced recovery after surgery, ERAS)理论、手术器械和治疗病种的变化,均需要重新审视现在的临床治疗观念和操作流程。ERAS理念从兴起到完善,为复杂却风险低的手术日间化提供了理论和技术支持。结合最近的国内外临床实践,以肺癌为例,分析肺癌手术日间化面临的问题与应对策略。从以下几方面论述:一是肺癌患者由住院手术转为日间手术(ambulatory surgery day surgery)的必要性与可行性;二是肺癌手术日间化的团队及平台建设;三是肺癌日间手术操作流程及围手术期管理需要优化;四是利用“分级诊疗-日间手术”模式保障患者安全;五是肺癌日间手术临床应用前景。】 【中文关键词:加速康复外科;日间手术;分级诊疗;肺肿瘤】.

Keywords: Day surgery; Enhanced recovery after surgery; Graded diagnosis and treatment; Lung neoplasms.

Publication types

  • Review

MeSH terms

  • Ambulatory Surgical Procedures / methods*
  • Enhanced Recovery After Surgery*
  • Humans
  • Lung Neoplasms / surgery*
  • Patient Safety