Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Dec 20;20(12):795-799.
doi: 10.3779/j.issn.1009-3419.2017.12.01.

[Establishment and Optimization of Enhanced Recovery after Surgery System for Lung Cancer]

[Article in Chinese]
Guowei Che  1
Affiliations
Review

[Establishment and Optimization of Enhanced Recovery after Surgery System for Lung Cancer]

[Article in Chinese]
Guowei Che. Zhongguo Fei Ai Za Zhi. .

Abstract
in English, Chinese

With the development of key techniques and programs, the concept of enhanced recovery after surgery (ERAS) has been utilized in a wide range of diseases and surgical specialties. The key technological elements of enhanced lung recovery after surgery (ELRAS), which is regarded as the mainstay of minimally invasive lung cancer surgery, consist of the airway management and the lung protection. A multidisciplinary team cooperation based on physicians, nurses and rehabilitative therapists is needed to achieve the goals of airway management and lung protection, thus establishing a comprehensive ELRAS system for lung cancer patients. Such ELRAS systems should meet the following demands: firstly, there are accurate and objective assessment models for each section in an ELRAS program; secondly, the ELRAS protocols should be made as simple and repeatable as possible; thirdly, there are rigorous evaluation systems for the clinical efficacy of an ELRAS program; finally, a question-oriented team should be constructed in an ELRAS program. In summary, the ELRAS system needs to be constantly optimized and improved in the clinical practices.

加速康复外科（enhanced recovery after surgery, ERAS）理念应用于不同疾病及学科均有其相应的关键技术及流程与体系。肺癌微创外科的核心是加速肺康复（enhanced lung recovery after surgery, ELRAS），而加速肺康复的关键技术是气道管理和肺保护。气道管理和肺保护的实现需要医、护、康一体及多学科协作，从而形成肺癌患者加速肺康复的完整体系。主要包括以下几方面：一是ERAS方案实施的各个环节均有准确、客观的评估体系；二是ERAS方案简单、易行且具有可重复性；三是ERAS方案临床应用效果具有精准严谨评价体系；四是以问题为导向的团队架构。总之，加速肺康复外科体系需要在临床实践中不断优化与完善。.

Keywords: Enhanced lung recovery after surgery; Enhanced recovery after surgery; Lung neoplasms; Lung surgery.

PubMed Disclaimer

References

    1. Che GW, Liu LX, Shi YK. Enhanced recovery after surgery protocol applying in perioperative treatment: current status and issues. Zhongguo Xiong Xin Xue Guan Wai Ke Lin Chuang Za Zhi. 2016;23(3):211–215. doi: 10.7507/1007-4848.20160050. - DOI
    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. 中国胸心血管外科临床杂志. 2016;23(3):211–215. doi: 10.7507/1007-4848.20160050. - DOI
    1. Che GW, Li WM, Liu LX. Enhanced lung rehabilitation after surgery: peri-operative processes optimization is necessary. Zhongguo Xiong Xin Xue Guan Wai Ke Lin Chuang Za Zhi. 2016;23(3):216–220. doi: 10.7507/1007-4848.20160051. - DOI
    2. 车 国卫, 李 为民, 刘 伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志. 2016;23(3):216–220. doi: 10.7507/1007-4848.20160051. - DOI
    1. Che GW, Liu LX. Is it helpful for patients undergoing lobectomy with lung cancer improve recovery by pulmonary rehabilitation? http://www.cnki.com.cn/Journal/E-E8-ZXYX-2017-08.htm Zhongguo Xiong Xin Xue Guan Wai Ke Lin Chuang Za Zhi. 2017;24(8):1–5.
    2. 车 国卫, 刘 伦旭. 肺康复训练有助于肺癌患者术后快速康复吗? http://www.cnki.com.cn/Journal/E-E8-ZXYX-2017-08.htm 中国胸心血管外科临床杂志. 2017;24(8):1–5.
    1. Che GW, Liu LX. Enhanced lung recovery after surgery, is it a necessary for precision therapy. Zhongguo Fei Ai Za Zhi. 2017;20(8):549–554. doi: 10.3779/j.issn.1009-3419.2017.08.09. - DOI - PMC - PubMed
    2. 车 国卫, 刘 伦旭. 加速康复外科, 需要精准治疗吗? 中国肺癌杂志. 2017;20(8):549–554. doi: 10.3779/j.issn.1009-3419.2017.08.09. - DOI - PubMed
    1. Che GW, Liu LX, Zhou QH. Enhanced recovery after surgery from theory to practice? what do we need to do? Zhongguo Fei Ai Za Zhi. 2017;20(4):219–225. doi: 10.3779/j.issn.1009-3419.2017.04.01. - DOI - PMC - PubMed
    2. 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? 中国肺癌杂志. 2017;20(4):219–225. doi: 10.3779/j.issn.1009-3419.2017.04.01. - DOI - PubMed

MeSH terms