肺癌手术患者的可改变风险因素及其优化：综述
Modifiable risk factors for patients undergoing lung cancer surgery and their optimization: a review.
作者信息
Gagné Sylvain, McIsaac Daniel I
机构信息
Department of Anesthesiology and Pain Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, ON, Canada.
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada.
出版信息
J Thorac Dis. 2018 Nov;10(Suppl 32):S3761-S3772. doi: 10.21037/jtd.2018.10.04.
Abstract
Enhanced recovery after surgery (ERAS) programs include a variety of pre-, intra- and post-operative interventions that seek to decrease the stress response to surgery and facilitate the recovery of surgical patients. There are a number of patient factors that may increase the risk of postoperative complications (POC) after lung cancer surgery and delay recovery. Some of these factors may be amenable to optimization preoperatively and potentially decrease the incidence of these complications. We have chosen to discuss the incidence and complications associated with factors we felt were both relatively common and significant contributors to POCs. For each of these factors we discuss potential avenues for optimization and the evidence for the resulting decrease in complications.
摘要
术后加速康复（ERAS）方案包括多种术前、术中和术后干预措施，旨在减轻手术应激反应并促进手术患者的康复。肺癌手术后有许多患者因素可能增加术后并发症（POC）的风险并延迟康复。其中一些因素在术前可能适合进行优化，从而有可能降低这些并发症的发生率。我们选择讨论与我们认为相对常见且对POC有重大影响的因素相关的发生率和并发症。对于这些因素中的每一个，我们都讨论了潜在的优化途径以及由此导致并发症减少的证据。
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