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. 2018 Mar 20;21(3):168-172.
doi: 10.3779/j.issn.1009-3419.2018.03.08.

[What is Enhanced Recovery After Surgery: Humanity or Technology?]

[Article in Chinese]
Guowei Che  1
Affiliations

[What is Enhanced Recovery After Surgery: Humanity or Technology?]

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

Abstract
in English, Chinese

The development of surgical techniques and the innovation of surgical instruments promote the changes in surgical methods, which in turn, leads to the reforms of surgical idea. The concept of enhanced recovery after surgery (ERAS) results in the surgery connotation switching from "to treat an illness" to "to save patients". ERAS also causes the change of surgery denotation from "only operation" to "enhance recovery". The concept of ERAS is derived from but not only restricted to the development of surgical techniques. Also, ERAS pays more attention to patients than disease and thinks more about patient safety and recovery than surgical technique. Specifically, ERAS has three advantages: first, ERAS attaches importance to multidisciplinary assessment (patient-oriented) and select appropriate (personalized) treatment and tries to decrease the rate of complication and mortality. Second, ERAS pays attention to preoperative preparation and high-risk prevention performed by multi-disciplinary collaboration in order to prevent complication and save cost for patients. Third, ERAS always focus on optimizing the process of perioperative period and trying to change the working habits of surgeons and the old cooperation mode among doctors, nurses and rehabilitation physicians. To sum up, the goal is to apply the concept of ERAS to all the links of perioperative period and try hard to decrease patients' stress and pain, which finally helps doctors fulfill the ultimate aims of "no pain and no risk". .

外科技术进步和器械的更新必然促进手术方式的变化，技术的发展导致外科观念更新。加速康复外科（enhanced recovery after surgery, ERAS）的理念使外科的内涵从“治疗疾病”转变为“治病救人”，外延也从“单纯手术”变为“促进康复”。但加速康复外科的理念来源于外科技术进步，但又高于外科技术，体现在更加重视“人”，而将安全和康复置于具体外科治疗之上。主要体现有：一是ERAS重视术前多学科评估（以病人为中心），选择合适的（个性化）治疗方案，降低并发症和死亡率；二是ERAS重视术前准备（以问题为导向），高危因素的多科协作预防，减少创伤并预防并发症，节约医疗成本；三是ERAS强调优化围手术期流程，改变（医务工作者）工作习惯与模式。总之，将ERAS理念应用于围手术期从管理到治疗的各个环节，每个环节争取做到“减少应激和创伤”，完美体现“no pain and no risk”的理念。 .

Keywords: Enhanced recovery after surgery; Humanity; Technology.

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References

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