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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (11): 1-10.doi: 10.6040/j.issn.1671-7554.0.2022.1100

• 胸外科肺癌、食管癌微创诊治和加速康复专题 •    下一篇

加速康复外科在肺癌围术期管理中的应用

高树庚*()   

  1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院胸外科, 北京 100021
  • 收稿日期:2022-09-23 出版日期:2022-11-01 发布日期:2022-11-04
  • 通讯作者: 高树庚 E-mail:gaoshugeng@cicams.ac.cn
  • 作者简介:高树庚,医学博士,胸外科主任医师,博士研究生导师,享受国务院特殊津贴,第九届国家卫生健康突出贡献中青年专家,国家肿瘤质控中心副主任、中国医学科学院肿瘤医院副院长。中华医学会胸心血管外科分会副主任委员兼秘书长、中国医师协会胸外科医师分会副会长兼总干事、北京医学会胸外科分会候任主委兼肺癌学组组长、肺癌微创治疗研究重点实验室主任。临床科研成果卓越,国际首创“解剖性部分肺叶切除”新术式;主持国内首个肺癌新辅助免疫治疗研究,牵头制定新辅助免疫治疗国际专家共识。主持十三五国家重点课题国家重点研发计划《肺癌精准化防诊治模式和规范化临床应用方案研究》、十四五国家重点研发计划《肺癌手术联合新辅助免疫治疗的评价体系和优选模式研究》、国家自然科学基金《新辅助免疫治疗非小细胞肺癌患者ctDNA甲基化动态演变研究》、中国医学科学院创新工程“揭榜挂帅”项目《肿瘤微创诊疗一体化医疗器械关键技术及应用的研究》、北京市科技计划“首都特色”项目《临床Ia期周围型非小细胞肺癌外科治疗的术式改进及应用》《周围型早期非小细胞肺癌外科手术方式探索的多中心前瞻性临床研究》等多项课题。近5年,以第一/通讯作者发表SCI论文80余篇,总影响因子400分。荣获国家科学技术进步奖二等奖、中华医学科技奖一等奖、华夏医学科技奖一等奖、英国皇家外科学院院士(FRCS)等荣誉
  • 基金资助:
    国家重点研发计划(2021YFC2500900);国家自然科学基金(82273129);中国医学科学院医学与健康科技创新工程(2021-I2M-1-015);中央保健专项资金(2022ZD17);院所科研课题(LC2019L01)

Application of enhanced recovery after surgery in perioperative management of lung cancer

Shugeng GAO*()   

  1. Department of Thoracic Surgery, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2022-09-23 Online:2022-11-01 Published:2022-11-04
  • Contact: Shugeng GAO E-mail:gaoshugeng@cicams.ac.cn

摘要:

加速康复外科(ERAS)是一种综合的围手术期管理理念,涉及多个学科领域,通过对围手术期各阶段进行优化,实现患者术后快速康复的目的。随着现代科学技术的大力发展,使ERAS理念得以在胸外科领域推广,形成了具有胸外科专科特色的ERAS管理模式。综合近年来胸外科肺癌领域ERAS理念的临床应用经验和研究进展,从术前准备、术中管理、术后康复等方面,对目前肺癌围术期管理经验进行总结述评,以期为临床医师将ERAS理念应用在肺癌诊疗时的决策提供参考。

关键词: 加速康复外科, 肺癌, 胸外科, 围手术期管理, 多学科

Abstract:

Enhanced recovery after surgery (ERAS), as a comprehensive perioperative management concept, involves multiple disciplines. It is to promote the rapid recovery of patients by optimizing each stage of the perioperative period. With the vigorous development of modern science and technology, ERAS concept has been popularized in the field of thoracic surgery, and ERAS management model with characteristics of thoracic surgery has been improved. This article will summarize the clinical application and research progress of ERAS concept in the field of lung cancer in thoracic surgery in recent years, and review the current perioperative management of lung cancer from aspects of preoperative preparation, intraoperative management and postoperative rehabilitation, aiming to provide reference for clinicians to apply ERAS concept in the diagnosis and treatment of lung cancer.

Key words: Enhanced recovery after surgery, Lung cancer, Thoracic surgery, Perioperative management, Multidisciplinary

中图分类号: 

  • R734.2
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