Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?

The concept of enhanced recovery after surgery (ERAS) 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 ERAS varies a lot though the same ERAS scheme is used. The main caus...

Full description

Bibliographic Details
Main Authors: Guowei CHE, Lunxu LIU
Format: Article
Language:zho
Published: Chinese Anti-Cancer Association; Chinese Antituberculosis Association 2017-08-01
Series:Chinese Journal of Lung Cancer
Subjects:
Online Access:http://dx.doi.org/10.3779/j.issn.1009-3419.2017.08.09
_version_ 1818274416235118592
author Guowei CHE
Lunxu LIU
author_facet Guowei CHE
Lunxu LIU
author_sort Guowei CHE
collection DOAJ
description The concept of enhanced recovery after surgery (ERAS) 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 ERAS varies a lot though the same ERAS scheme is used. The main cause may be the same ERAS scheme can not be suitable for different patients. In other words, does ERAS also need to conform to Precision Medicine Theory? This study is focused on the necessity and clinical efficacy of “Precision ERAS” performed in lung cancer patients. The conclusions are the following: first of all, an accurate judgment of patients who need ERAS should be done properly before surgery, which means that the high risks assessment should be done accurately. Secondly, a specific ERAS scheme should be carried out in each independent patient 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 ERAS should be selected to make patients feel more comfortable and shorten the average length of stay (ALOS). To summary, “subtraction” instead of “addition” should be considered when performing ERAS.
first_indexed 2024-12-12T22:13:30Z
format Article
id doaj.art-83d47a5cfe524bdbb267293e04401e89
institution Directory Open Access Journal
issn 1009-3419
1999-6187
language zho
last_indexed 2024-12-12T22:13:30Z
publishDate 2017-08-01
publisher Chinese Anti-Cancer Association; Chinese Antituberculosis Association
record_format Article
series Chinese Journal of Lung Cancer
spelling doaj.art-83d47a5cfe524bdbb267293e04401e892022-12-22T00:10:10ZzhoChinese Anti-Cancer Association; Chinese Antituberculosis AssociationChinese Journal of Lung Cancer1009-34191999-61872017-08-0120854955410.3779/j.issn.1009-3419.2017.08.09Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?Guowei CHE0Lunxu LIU1Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaDepartment of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, ChinaThe concept of enhanced recovery after surgery (ERAS) 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 ERAS varies a lot though the same ERAS scheme is used. The main cause may be the same ERAS scheme can not be suitable for different patients. In other words, does ERAS also need to conform to Precision Medicine Theory? This study is focused on the necessity and clinical efficacy of “Precision ERAS” performed in lung cancer patients. The conclusions are the following: first of all, an accurate judgment of patients who need ERAS should be done properly before surgery, which means that the high risks assessment should be done accurately. Secondly, a specific ERAS scheme should be carried out in each independent patient 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 ERAS should be selected to make patients feel more comfortable and shorten the average length of stay (ALOS). To summary, “subtraction” instead of “addition” should be considered when performing ERAS.http://dx.doi.org/10.3779/j.issn.1009-3419.2017.08.09Enhanced recovery after surgeryEnhanced lung recovery after surgeryPrecision medcine
spellingShingle Guowei CHE
Lunxu LIU
Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
Chinese Journal of Lung Cancer
Enhanced recovery after surgery
Enhanced lung recovery after surgery
Precision medcine
title Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
title_full Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
title_fullStr Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
title_full_unstemmed Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
title_short Enhanced Lung Recovery after Surgery, Is It A Necessary for Precision Therapy?
title_sort enhanced lung recovery after surgery is it a necessary for precision therapy
topic Enhanced recovery after surgery
Enhanced lung recovery after surgery
Precision medcine
url http://dx.doi.org/10.3779/j.issn.1009-3419.2017.08.09
work_keys_str_mv AT guoweiche enhancedlungrecoveryaftersurgeryisitanecessaryforprecisiontherapy
AT lunxuliu enhancedlungrecoveryaftersurgeryisitanecessaryforprecisiontherapy