Comacchio Giovanni Maria, Monaci Nicola, Verderi Enrico, Schiavon Marco, Rea Federico
Thoracic Surgery Unit, Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Padova, Italy.
J Thorac Dis. 2019 Mar;11(Suppl 4):S515-S522. doi: 10.21037/jtd.2019.01.99.
The concept of enhanced recovery after surgery (ERAS), initially introduced in the field of colorectal surgery, has been developed in order to optimize the postoperative course. In recent years the number of authors analyzing the role of ERAS in lung cancer surgery is increasing, highlighting several interventions with positive effects on the postoperative course. Yet it is still difficult to draw definite conclusions and specific guidelines, as most of these studies largely differ for their methodological aspects and study populations. Herein we focus on the key elements of each single intervention, trying to identify what we can apply in a common pathway, and which aspects are still to be evaluated for the validation of an ERAS program.
手术加速康复(ERAS)的概念最初是在结直肠手术领域提出的,其目的是优化术后恢复过程。近年来,分析ERAS在肺癌手术中作用的作者数量不断增加,突出了几种对术后恢复过程有积极影响的干预措施。然而,仍然难以得出明确的结论和制定具体的指南,因为这些研究大多在方法学方面和研究人群上存在很大差异。在此,我们专注于每种单一干预措施的关键要素,试图确定我们可以在通用路径中应用的内容,以及哪些方面仍有待评估以验证ERAS方案。