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山东大学学报 (医学版) ›› 2022, Vol. 60 ›› Issue (11): 11-16.doi: 10.6040/j.issn.1671-7554.0.2022.0669

• 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

加速康复外科理念在胸外科临床实践指导的瑞金医院专家共识

韩丁培1,严越2,曹羽钦1,孙昕4,胡琰霞1,汪敏娴5,罗艳6,施咏梅7,谢青4,杭钧彪1,李鹤成1,*()   

  1. 1. 上海交通大学医学院附属瑞金医院胸外科, 上海 200025
    2. 清华大学医学院, 北京 100084
    3. 清华大学医疗管理学院, 北京 100084
    4. 上海交通大学医学院附属瑞金医院康复医学科, 上海 200025
    5. 上海交通大学医学院附属瑞金医院社会工作部, 上海 200025
    6. 上海交通大学医学院附属瑞金医院麻醉科, 上海 200025
    7. 上海交通大学医学院附属瑞金医院临床营养科, 上海 200025
  • 收稿日期:2022-05-31 出版日期:2022-11-01 发布日期:2022-11-04
  • 通讯作者: 李鹤成 E-mail:lihecheng2000@hotmail.com
  • 作者简介:李鹤成，上海交通大学医学院附属瑞金医院胸外科主任医师，教授，博士研究生导师。美国外科学院成员(FACS)，美国胸外科学会会员(AATS member)，中华医学会胸心血管外科分会委员，中国医师协会胸外科医师分会委员，中国医师协会医用机器人分会常委，上海医学会胸外科分会副主任委员，上海市医师协会胸外科医师分会副会长，上海市科委优秀学术带头人，中国抗癌协会腔镜与机器人外科分会常委，中国医师协会医用机器人分会胸外科学组副组长，美国胸外科医师协会(STS)会员，欧洲胸外科医师协会(ESTS)会员，国际肺癌研究协会(IASLC)会员，美国临床研究协会(ASCO)会员，美国癌症研究协会(AACR)会员，上海医学会肿瘤学分会委员，上海瑞金医院肺癌多学科治疗协作组首席专家，上海瑞金医院食管癌多学科治疗协作组首席专家。在临床上擅长肺癌、食管癌、贲门癌、纵隔肿瘤以手术为主的综合治疗；擅长肺癌、食管癌的微创手术，在国内较早开展全腔镜食管癌根治胸内吻合手术和胸腔镜肺段切除术，胸部肿瘤的达芬奇机器人手术，开创单操作孔胸腔镜食管癌根治胸内吻合术。在科研方面从事肺癌、食管癌的基础及临床转化型研究，食管癌新辅助放化疗+免疫治疗临床及基础研究。主持多项国家自然科学基金及上海市级资助项目
  • 基金资助:
    国家自然科学基金面上项目(82072557);国家自然科学基金面上项目(81871882);国家重点研发计划(2021YFC2500903);上海市卫生计生系统优秀学科带头人培养计划(2017BR055);上海市教育委员会高峰高原学科建设计划(20172005)

Expert consensus of Ruijin Hospital on the concept of enhanced recovery after surgery in the clinical practice of thoracic surgery

Dingpei HAN1,Yue YAN2,Yuqin CAO1,Xin SUN4,Yanxia HU1,Minxian WANG5,Yan LUO6,Yongmei SHI7,Qing XIE4,Junbiao HANG1,Hecheng LI1,*()   

  1. 1. Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    2. School of Medicine, Tsinghua University, Beijing 100084, China
    3. School of Health Care Management, Tsinghua University, Beijing 100084, China
    4. Department of Rehabilitation, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    5. Department of Social Work, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    6. Department of Anesthesiology, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
    7. Department of Clinical Nutrition, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200025, China
  • Received:2022-05-31 Online:2022-11-01 Published:2022-11-04
  • Contact: Hecheng LI E-mail:lihecheng2000@hotmail.com

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摘要：

加速康复外科的理念自1997年被提出后, 已被广泛应用于胸外科等领域。通过外科、麻醉、护理、康复、营养等多学科协作，基于循证医学证据，采用一系列围手术期优化处理措施，减少患者的生理和心理创伤应激，从而达到缩短住院时间、减少并发症发生、加速术后康复的目的。本文结合多学科专家意见，总结瑞金医院胸外科在ERAS理念下开展的一系列临床实践，以供各位学者参考。

关键词: 加速康复外科, 胸外科, 肺癌, 食管癌, 围手术期管理, 多学科协作

Abstract:

Since the proposal of enhanced recovery after surgery (EARS) concept in 1997, it has been widely used in thoracic surgery and other surgical fields. Through the multidisciplinary collaboration of surgery, anesthesia, nursing, rehabilitation and clinical nutrition, a series of perioperative optimization measures are adopted to reduce the physical and psychological stress of patients, shorten the length of hospital stay, reduce the incidence of complications and accelerate postoperative rehabilitation. Based on the consensus of multidisciplinary experts, this article summarizes the clinical practice carried out under the concept of ERAS in the Department of Thoracic Surgery of Ruijin Hospital for the reference of other medical staff.

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

中图分类号: 

  • R574
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