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电视辅助胸腔镜手术(VATS)组加速康复外科(ERAS)注册库

VATS Group ERAS Registry.

作者信息

Vannucci Jacopo, Costi Stefano, Matricardi Alberto, Scarnecchia Elisa, Droghetti Andrea

机构信息

Department of Thoracic Surgery, University of Perugia Medical School, Perugia, Italy.

TelConsulting s.a.s., Roma, Italy.

出版信息

J Thorac Dis. 2018 Mar;10(Suppl 4):S571-S577. doi: 10.21037/jtd.2018.02.56.

Abstract

Enhanced recovery after surgery (ERAS) is a multimodal, polyhedral approach to surgical management for patients undergoing surgical therapy. Since ERAS is not a specific procedure, these protocols are not exclusively created for particular clinical settings but they are prone to be adapted to a large variety of healthcare programs after surgery. ERAS Society was the platform in which a new multidisciplinary methodology to promote a fast recovery, a considerable patient involvement and resource optimization has been developed. ERAS Society has also produced guidelines for different surgical specialties and has already generated some evidence regarding preoperative, intraoperative and postoperative practice. ERAS in Thoracic Surgery has had a slow-growing development but some hints suggest that introducing ERAS methodology in pulmonary resections for cancer could be feasible and effective with potential tangible benefits for patients, families, caregivers and welfare. There is no evidence yet concerning ERAS principles in Thoracic Surgery; for this reason, a new possibility for prospective data collection and analysis is created using the VATS Group Web Registry in which additional records, documents and facts have now the possibility to be registered and eventually explored to possibly adjust the ERAS protocols to major pulmonary resections.

摘要

术后加速康复(ERAS)是一种针对接受手术治疗患者的多模式、多方面的手术管理方法。由于ERAS并非特定程序,这些方案并非专门为特定临床环境制定,但易于在术后适应多种医疗保健项目。ERAS协会是一个开发了促进快速康复、患者大量参与和资源优化的新多学科方法的平台。ERAS协会还制定了针对不同外科专科的指南,并已经产生了一些关于术前、术中和术后实践的证据。胸外科的ERAS发展缓慢,但一些迹象表明,在肺癌肺切除术中引入ERAS方法可能是可行且有效的,对患者、家庭、护理人员和福利都有潜在的切实益处。目前尚无关于胸外科ERAS原则的证据;因此,利用VATS组网络注册库创造了前瞻性数据收集和分析的新可能性,现在可以在其中注册额外的记录、文件和事实,并最终进行探索,以便可能调整ERAS方案以适用于主要肺切除术。

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