Journal of Shandong University (Health Sciences) ›› 2022, Vol. 60 ›› Issue (11): 17-22.doi: 10.6040/j.issn.1671-7554.0.2022.0658

• Special Issue in Minimally Invasive Surgery and Enhanced Recovery After Surgery in Lung Cancer and Esophageal Cancer • Previous Articles     Next Articles

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

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

CLC Number: 

  • R655.3
1 Li S , Zhou K , Che G , et al. Enhanced recovery programs in lung cancer surgery: systematic review and meta-analysis of randomized controlled trials[J]. Cancer Manag Res, 2017, 9, 657- 670.
doi: 10.2147/CMAR.S150500
2 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考[J]. 中国胸心血管外科临床杂志, 2016, 23 (3): 211- 215.
CHE Guowei , LIU Lunxu , SHI Yingkang . Enhanced recovery after surgery protocol applying in perioperative treatment: current status and issues[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23 (3): 211- 215.
3 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化[J]. 中国胸心血管外科临床杂志, 2016, 23 (3): 216- 220.
CHE Guowei , LI Weimin , LIU Lunxu . Enhanced lung rehabilitation after surgery: peri-operative processes optimization is necessary[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23 (3): 216- 220.
4 Jiang L , Lei T , Zhou K , et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage Ⅰ non-small cell lung cancer in day surgery patients[J]. Thorac Cancer, 2021, 12 (21): 2865- 2872.
doi: 10.1111/1759-7714.14145
5 Steenhagen E . Enhanced recovery after surgery: it's time to change practice![J]. Nutr Clin Pract, 2016, 31 (1): 18- 29.
doi: 10.1177/0884533615622640
6 Cotton P . Fast-track improves CABG outcomes[J]. JAMA, 1993, 270 (17): 2023.
doi: 10.1001/jama.1993.03510170013003
7 Miller TE , Roche AM , Mythen M . Fluid management and goal-directed therapy as an adjunct to Enhanced Recovery After Surgery (ERAS)[J]. Can J Anaesth, 2015, 62 (2): 158- 168.
doi: 10.1007/s12630-014-0266-y
8 Day RW , Cleeland CS , Wang XS , et al. Patient-reported outcomes accurately measure the value of an enhanced recovery program in liver surgery[J]. J Am Coll Surg, 2015, 221 (6): 1023- 1030.
doi: 10.1016/j.jamcollsurg.2015.09.011
9 Fagundes CP , Shi Q , Vaporciyan AA , et al. Symptom recovery after thoracic surgery: measuring patient-reported outcomes with the MD Anderson Symptom Inventory[J]. J Thorac Cardiovasc Surg, 2015, 150 (3): 613- 619.
doi: 10.1016/j.jtcvs.2015.05.057
10 Chen T , Wei H , Yue W , et al. Enhanced recovery after surgery management of perioperative period in surgical lung cancer patients: protocol for a systematic review and meta-analysis of randomised controlled trials[J]. BMJ Open, 2022, 12 (2): e056068.
doi: 10.1136/bmjopen-2021-056068
11 Li S , Che G , Shen C , et al. Current situation and consideration on the enhanced recovery protocols in lung cancer surgery[J]. J Thorac Dis, 2018, 10 (Suppl 33): S3855- S3858.
12 车国卫, 梁廷波. 加速康复外科临床实践中学科团队建设的问题与思考[J]. 加速外科康复杂志, 2019, 2 (4): 145- 148.
CHE Guowei , LIANG Tingbo . Current status and issues of disciplinary team protocol in Enhanced Recovery after Surgery (ERAS)[J]. Journal of Enhanced Recovery After Surgery, 2019, 2 (4): 145- 148.
13 Spencer P , Scott M . Implementing enhanced recovery after surgery across a United States Health System[J]. Anesthesiol Clin, 2022, 40 (1): 1- 21.
doi: 10.1016/j.anclin.2021.11.011
14 Choi BY , Bae JH , Lee CS , et al. Implementation and improvement of Enhanced Recovery After Surgery protocols for colorectal cancer surgery[J]. Ann Surg Treat Res, 2022, 102 (4): 223- 233.
doi: 10.4174/astr.2022.102.4.223
15 车国卫. 肺癌患者加速肺康复外科体系的建立与优化[J]. 中国肺癌杂志, 2017, 20 (12): 795- 799.
doi: 10.3779/j.issn.1009-3419.2017.12.01
CHE Guowei . Establishment and optimization of enhanced recovery after surgery system for lung cancer[J]. Chinese Journal of Lung Cancer, 2017, 20 (12): 795- 799.
doi: 10.3779/j.issn.1009-3419.2017.12.01
16 Meyenfeldt EMV , van Nassau F , de Betue CTI , et al. Implementing an enhanced recovery after thoracic surgery programme in the Netherlands: a qualitative study investigating facilitators and barriers for implementation[J]. BMJ Open, 2022, 12 (1): e051513.
doi: 10.1136/bmjopen-2021-051513
17 Goyal-Honavar A , Sarkar S , Asha HS , et al. Impact of experience on outcomes after endoscopic transsphenoidal surgery for acromegaly[J]. World Neurosurg, 2021, 151, e1007- e1015.
doi: 10.1016/j.wneu.2021.05.030
18 车国卫. 加速康复外科: 人文or技术?[J]. 中国肺癌杂志, 2018, 21 (3): 168- 172.
CHE Guowei . What is enhanced recovery after surgery: humanity or technology?[J]. Chinese Journal of Lung Cancer, 2018, 21 (3): 168- 172.
19 车国卫, 刘伦旭. 加速康复外科, 需要精准治疗吗?[J]. 中国肺癌杂志, 2017, 20 (8): 549- 554.
CHE Guowei , LIU Lunxu . Enhanced lung recovery after surgery, is it a necessary for precision therapy?[J]. Chinese Journal of Lung Cancer, 2017, 20 (8): 549- 554.
20 车国卫, 刘伦旭, 周清华. 加速康复外科从理论到实践: 我们需要做什么?[J]. 中国肺癌杂志, 2017, 20 (4): 219- 225.
CHE Guowei , LIU Lunxu , ZHOU Qinghua . Enhanced recovery after surgery from theory to practice: what do we need to do?[J]. Chinese Journal of Lung Cancer, 2017, 20 (4): 219- 225.
21 徐志华, 杨梅, 邱舫, 等. 肺癌患者围手术期无痛性留置导尿管的前瞻性队列研究[J]. 中国胸心血管外科临床杂志, 2016, 23 (4): 323- 327.
XU Zhihua , YANG Mei , QIU Fang , et al. Perioperative painless indwelling urethral catheter in lobectomy of lung cancer: a prospective cohort study[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23 (4): 323- 327.
22 车国卫. 加速康复外科——临床应用加减之间?[J]. 中国肺癌杂志, 2019, 22 (11): 681- 686.
CHE Guowei . Proper selection of enhanced recovery after surgery programs between the medical service and medical intervence—is it time to do?[J]. Chinese Journal of Lung Cancer, 2019, 22 (11): 681- 686.
23 Lai Y , Wang X , Zhou K , et al. The feasibility and safety of no placement of urinary catheter following lung cancer surgery: a retrospective cohort study with 2, 495 cases[J]. J Invest Surg, 2021, 34 (6): 568- 574.
24 Lai Y , Wang X , Zhou H , et al. Is it safe and practical to use a foley catheter as a chest tube for lung cancer patients after lobectomy? A prospective cohort study with 441 cases[J]. Int J Surg, 2018, 56, 215- 220.
doi: 10.1016/j.ijsu.2018.06.028
25 林琳, 戢艳丽, 车国卫, 等. 肺癌胸腔镜肺叶切除术后不同药物镇痛效果的随机对照试验[J]. 中国胸心血管外科临床杂志, 2017, 24 (11): 830- 834.
LIN Lin , JI Yanli , CHE Guowei , et al. Analgesic drugs for patients with non-small cell lung cancer undergoing video-assisted thoracic surgery lobectomy: a randomized controlled trial[J]. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24 (11): 830- 834.
26 Li P , Shen C , Wu Y , et al. It is safe and feasible to omit the chest tube postoperatively for selected patients receiving thoracoscopic pulmonary resection: a meta-analysis[J]. J Thorac Dis, 2018, 10 (5): 2712- 2721.
27 Lai Y , Su J , Qiu P , et al. Systematic short-term pulmonary rehabilitation before lung cancer lobectomy: a randomized trial[J]. Interact Cardiovasc Thorac Surg, 2017, 25 (3): 476- 483.
28 Wang J , Dong Y , Su J , et al. Postoperative exercise training improves the quality of life in patients receiving pulmonary resection: A systematic review and meta-analysis based on randomized controlled trials[J]. Respir Med, 2022, 192, 106721.
doi: 10.1016/j.rmed.2021.106721
29 Lin R , Che G . Risk factors of cough in non-small cell lung cancer patients after video-assisted thoracoscopic surgery[J]. J Thorac Dis, 2018, 10 (9): 5368- 5375.
30 Zhou K , Lai Y , Wang Y , et al. Comprehensive pulmonary rehabilitation is an effective way for better postoperative outcomes in surgical lung cancer patients with risk factors: a propensity score-matched retrospective cohort study[J]. Cancer Manag Res, 2020, 12, 8903- 8912.
doi: 10.2147/CMAR.S267322
31 沈诚, 常帅, 周坤, 等. 加速康复外科和日间手术模式在胸外科中的应用现状及发展前景[J]. 中国肺癌杂志, 2020, 23 (9): 800- 805.
SHEN Cheng , CHANG Shuai , ZHOU Kun , et al. The present situation and prospect of day surgery and enhanced recovery after surgery in thoracic surgery[J]. Chinese Journal of Lung Cancer, 2020, 23 (9): 800- 805.
32 Shen C , Che G . No drains in thoracic surgery with ERAS program[J]. J Cardiothorac Surg, 2020, 15 (1): 112.
33 Jiang L , Lei T , Zhou K , et al. Pivotal role of video-assisted thoracoscopic surgery in improving survival outcome of stage Ⅰ non-small cell lung cancer in day surgery patients[J]. Thorac Cancer, 2021, 12 (21): 2865- 2872.
34 Dong Y , Shen C , Wang Y , et al. Safety and feasibility of video-assisted thoracoscopic day surgery and inpatient surgery in patients with non-small cell lung cancer: a single-center retrospective cohort study[J]. Front Surg, 2021, 8, 779889.
doi: 10.3389/fsurg.2021.779889
35 Dong Y , Li J , Chang J , et al. Video-assisted thoracoscopic day surgery for patients with pulmonary nodules: a single-center clinical experience of 200 cases[J]. Cancer Manag Res, 2021, 13, 6169- 6179.
doi: 10.2147/CMAR.S324165
36 董映显, 朱道珺, 车国卫, 等. 肺癌日间手术操作流程与临床应用效果分析[J]. 中国肺癌杂志, 2020, 23 (2): 77- 83.
DONG Yingxian , ZHU Daojun , CHE Guowei , et al. Clinical effect of day surgery in patients with lung caner by optimize operating process[J]. Chinese Journal of Lung Cancer, 2020, 23 (2): 77- 83.
37 刘丹, 黄燕, 周清华, 等. 肺结节/肺癌患者全程管理模式的设计与应用[J]. 中国肺癌杂志, 2020, 23 (5): 299- 305.
LIU Dan , HUANG Yan , ZHOU Qinghua , et al. Pulmonary nodules/lung cancer comprehensive management mode: design and application[J]. Chinese Journal of Lung Cancer, 2020, 23 (5): 299- 305.
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