Perioperative management includes all the treatments during pre-, intra-, and post-operative periods. The enhanced recovery after surgery applies a series of evidence-based perioperative measures to accelerate patients' recovery by reducing both physical and mental stress caused by surgical operation. Compared with traditional perioperative management, it decreases the rate of complication and re-admission, and shortens the length of hospitalization without any impact on safety. The principle, strategy, and technique of enhanced recovery after surgery will be integrated into the perioperative management of all the patients in the future.
Humans ; Perioperative Care

Chronic Disease ; Humans ; Perioperative Care ; Sinusitis ; surgery

Gastric cancer is one of the most serious health problems in China. The overall survival rate after surgical treatment has increased and the rate of postoperative complication has decreased. These improvements are due to the introduction of more radical surgical techniques, early detection, and the improvement of anesthesia, perioperative care, and nutritional support. The aim of this article is to introduce the general perioperative management of patients with gastric cancer. Good perioperative management of gastric cancer contributes to the improvement of surgical outcomes. There are several controversial issues in the general perioperative management of gastric cancer, such as gastric tube decompression and nutritional support.
Humans ; Perioperative Care ; methods ; Stomach Neoplasms ; surgery

Humans ; Liver Neoplasms ; surgery ; Perioperative Care

Critical Illness ; Humans ; Nutritional Support ; Perioperative Care

One of the most significant changes in surgical practice during the past two decades has been the growth of ambulatory surgery. This change is owing to the increased popularity of minimally invasive surgical techniques and the improvement of various anesthetic techniques. Therefore, implementation of perioperative patient care paradigm that reduces the time to discharge home and resumption of activities of daily life after a wide variety of surgical procedures is required.
Ambulatory Surgical Procedures* ; Humans ; Patient Care ; Perioperative Care

The significant increase in the incidence of benign anal diseases is related to the fast-paced life style, the change of dietary structure, the increase of work pressure and social psychological factors. Surgery is one of the most important treatments for benign anal diseases, while perioperative defecation management is closely related to the efficacy of surgery. In current clinical practice, there is no consensus on the management of perioperative defecation for benign anal diseases. Hence a discussion was held by the Professional Committee of Colorectal Diseases of Chinese Society of Integrated Chinese and Western Medicine, concerning the causes of perioperative defecation difficulties in perioperative anal benign diseases, the importance and specific strategy of defecation management. A consensus was consequently formed, aiming to provide a guideline for the clinical practice.
Anal Canal/surgery* ; Anus Diseases/surgery* ; China ; Consensus ; Defecation ; Humans ; Perioperative Care ; Perioperative Period

The author raised that the orientation of peri-operative integrative medicine studies as: Correct surgical decision-making is the prerequisite for successful surgery, the skilled surgical technique is the key for successful operation. At the same time, considerate and appropriate peri-operative management is the guarantee for the success of surgery. Consequently, quick recovery is the core concept of peri-operative integrative medicine studies. Its academic value and practical significance lie in that it can accelerate the improvement of surgical skills, optimize various effective measures to improve the overall efficacy, promote discipline construction and personnel training to improve academic levels, promote the development of Chinese medicine and accelerate its internationalization.
Humans ; Integrative Medicine ; Perioperative Care ; methods ; Rehabilitation ; methods

Recently immunotherapy for gastrointestinal tumor has rapidly developed, and has improved the effect of cancer comprehensive treatment as an adjunctive therapy in combination with surgery, chemotherapy, and radiation therapy. Adoptive transfer of immune cells is an important treatment method for advanced gastric cancer. In this paper, we reviewed the application of adoptive transfer therapy for advanced gastric cancer in the perioperative period and propose a new model for immunotherapy of advanced gastric cancer based on our experience and the results of clinical experiment.
Humans ; Immunotherapy, Adoptive ; methods ; Perioperative Care ; Stomach Neoplasms ; therapy

The excess fatty tissues on the head, neck, thorax, and abdomen of morbid obese patients can impede the patency of the upper airway and impair lung functions. Meanwhile, these patients often have comorbidities such as obstructive sleep apnea, hypoventilation syndrome, chronic obstructive pulmonary disease, and asthma, which may result in difficult airway, intraoperative hypoventilation, and postoperative respiratory depression. Therefore, perioperative airway management for morbid obese patients may pose a big challenge to anesthesiologists. Anesthesiologists should know well about the pathophysiological features of respiratory system and grasp rational management principles, so as to improve the safety and effectiveness of perioperative airway management and optimize the clinical prognosis.
Airway Management ; Anesthesia ; methods ; Humans ; Obesity ; surgery ; Perioperative Care