Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
10.3779/j.issn.1009-3419.2017.08.09
- VernacularTitle:加速肺康复外科,需要精准治疗吗?
- Author:
CHE GUOWEI
1
;
LIU LUNXU
Author Information
1. 四川四川大学华西医院胸外科
- Keywords:
Enhanced recovery after surgery;
Enhanced lung recovery after surgery;
Precision medcine
- From:
Chinese Journal of Lung Cancer
2017;20(8):549-554
- CountryChina
- Language:Chinese
-
Abstract:
The concept of enhanced recovery after surgery (EARS) has already been accepted by almost all the clinicians and nurses, the practice of which is based on interdisciplinary cooperation. The reason is still unclear why the effect of EARS varies a lot though the same EARS scheme is used. The main cause may be the same EARS scheme can not be suitable for different patients. In other words, does EARS also need to conform to Precision Medicine Theory? This study is focused on the necessity and clinical efficacy of "Precision EARS" performed in lung cancer patients. The conclusions are the following: first of all, an accurate judgment of patients who need EARS should be done properly before surgery, which means that the high risks assessment should be done accurately. Secondly, a specific EARS scheme should be carried out in each independent pa-tient who has obvious clinical symptoms in order to alleviate clinical symptoms and improve the ptients' quality of life (QOL). Thirdly, for the asymptomatic patitents who also don't have severe concomitant diseases, process-optimized EARS should be selected to make patients feel more comfortable and shorten the average length of stay (ALOS). To summary, "subtraction" in-stead of "addition" should be considered when performing EARS.
