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加速康复外科——人文or技术?

Te 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. Te concept of enhanced recovery afer surgery (ERS) results in the surgery connotation switching from "to treat an illne...

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Detalles Bibliográficos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: 中国肺癌杂志编辑部 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5973029/
https://www.ncbi.nlm.nih.gov/pubmed/29587933
http://dx.doi.org/10.3779/j.issn.1009-3419.2018.03.08
Descripción
Sumario:Te 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. Te concept of enhanced recovery afer surgery (ERS) results in the surgery connotation switching from "to treat an illness" to "to save patients". ERS also causes the change of surgery denotation from "only operation" to "enhance recovery". Te concept of ERS is derived from but not only restricted to the development of surgical techniques. Also, ERS pays more atention to patients than disease and thinks more about patient safety and recovery than surgical technique. Specifcally, ERS has three advantages: frst, ERS ataches importance to multidisciplinary assessment (patient-oriented) and select appropriate (personalized) treatment and tries to decrease the rate of complication and mortality. Second, ERS pays atention to preoperative preparation and high-risk prevention performed by multi-disciplinary collaboration in order to prevent complication and save cost for patients. Tird, ERS 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 ERS to all the links of perioperative period and try hard to decrease patients' stress and pain, which fnally helps doctors fulfll the ultimate aims of "no pain and no risk".