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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (11): 17-22.doi: 10.6040/j.issn.1671-7554.0.2022.0658

• 胸外科肺癌、食管癌微创诊治和加速康复专题 • 上一篇    下一篇

加速康复外科需要与时俱进

车国卫*()   

  1. 四川大学华西医院肺癌中心/胸外科，四川 成都 610041
  • 收稿日期:2022-05-27 出版日期:2022-11-01 发布日期:2022-11-04
  • 通讯作者: 车国卫 E-mail:chebenben2005@163.com
  • 作者简介:车国卫，四川大学华西医院肺癌中心主任医师、教授、博士研究生导师, 四川省学术和技术带头人。主要从事肺癌与肿瘤微环境共演进和分子机制、快速康复流程优化研究。任中华医学会胸心血管外科分会肺癌学组委员、中国临床肿瘤学协作中心(CSCO)理事、中国康复医学会呼吸专委会常委、中国医师协会康复专委会呼吸专委会副主任委员、世界中医药联合会肺康复专业委员会副会长、四川省医学会胸心外科分会副主委、四川省肿瘤学会理事、肺癌专委会副主委、四川省康复医学会常务理事、加速康复外科专委会主委、成都康复医学会肺康复专委会主任委员、《中国肺癌杂志》和《中国胸心血管外科临床杂志》常务编委。作为项目负责人共获得基金14项(国家自然科学基金4项、省部级基金10项)，主编专著8部，参与制订专家共识13项，以第一作者和通信作者发表论文240多篇，其中SCI收录140篇
  • 基金资助:
    四川省科技厅支撑计划项目(2015SZ0158);四川省科技厅计划项目(2021JDKP0046)

It is necessary for enhanced recovery after surgery to keep pace with the times

Guowei CHE*()   

  1. Lung Cancer Center/Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan, China
  • Received:2022-05-27 Online:2022-11-01 Published:2022-11-04
  • Contact: Guowei CHE E-mail:chebenben2005@163.com

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摘要：

微创外科技术和设备的发展不断推动加速康复外科(ERAS)的进步，不但持续更新我们对加速康复外科的再认识，反过来加速康复外科的理念和实现也需要与时俱进，共同发展。本文结合肺外科加速康复外科的临床实践，阐述加速康复外科需要更新和发展的几个方面：一是加速康复外科的目标或目的需要适应技术和时代的进步；二是加速康复外科团队建设与思考；三是加速康复外科管理与流程优化；四是加速康复外科在推动分级诊疗或全程管理中的应用。

关键词: 加速康复外科, 微创外科, 全程管理, 分级诊疗

Abstract:

The development of minimally invasive surgical techniques and equipment continues to promote the progress of enhanced recovery after surgery (ERAS) and update our understanding. Conversely, the concept and realization of ERAS also need to keep pace with the times. This article illustrates several aspects of ERAS which need to be updated and developed based on the clinical practice in lung surgery, including the goals or objectives of ERAS, team building and thinking about ERAS, management and process optimization of ERAS, and the application of ERAS in promoting tiered diagnosis and treatment or whole-process management.

Key words: Enhanced Recovery after Surgery, Minimally invasive surgery, Whole-process management, Tiered diagnosis and treatment

中图分类号: 

  • R655.3
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