Enhanced recovery after surgery from perspective of surgery stress_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

WANG Shuai , QIU Yuan , JIANG Enlai , YANG Hua ,  XIAO Weidong

Department of General Surgery, Xinqiao Hospital, The Third Military Medical University, Chongqing 400037, P. R. China;

Corresponding?author：

XIAO Weidong, Email: weidongxiao@126.com

Keywords：

surgery; stress; enhanced recovery after surgery

DOI：

10.7507/1007-9424.201711094

Video：

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Objective To explore effect of enhanced recovery after surgery (ERAS) on maintaining homeostasis of patient body and role of ERAS in alleviating stress response of physiological and psychological of patient and promoting recovery of patient from operative trauma as soon as possible. Method The related literatures published at home and abroad about the ERAS and its influence on the perioperative stress degree of patient were reviewed and analyzed. Results The ERAS was a new perioperative management mode established under the guidance of evidence-based medicine, whose core was to reduce the perioperative physiological and psychological stress level of the patient through a series of optimized measures, and to promote the postoperative rehabilitation. At the same time, the ERAS had been more and more widely accepted by the surgeons and patients because of its unique advantages, especially in shortening the hospital stay and reducing the operating costs. Conclusions Although concept of ERAS is not yet accepted by most clinicians, ERAS does provide a more optimal perioperative management strategy for patient, could obviously reduce perioperative stress level, improve patient outcome, accelerate postoperative recovery of patient, and provide benefit for patient underwent surgery.

Citation： WANG Shuai, QIU Yuan, JIANG Enlai, YANG Hua, XIAO Weidong. Enhanced recovery after surgery from perspective of surgery stress. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2018, 25(7): 878-882. doi: 10.7507/1007-9424.201711094 Copy

1.	Rom O, Reznick AZ. The stress reaction: A historical perspective. Adv Exp Med Biol, 2016, 905: 1-4.
2.	Manalo RVM. Anastasis and the ER stress response: Solving the paradox of the unfolded protein response in cancer. Med Hypotheses, 2017, 109: 25-27.
3.	?sapay G, ?sapay K. Stress and fertility. Orv Hetil, 2015, 156(35): 1430-1434.
4.	姜乾金. 醫學心理學. 北京: 人民衛生出版社, 2010: 38-45．.
5.	Khoo B, Boshier PR, Freethy A, et al. Redefining the stress cortisol response to surgery. Clin Endocrinol (Oxf), 2017, 87(5): 451-458.
6.	Nimmo SM, Foo ITH, Paterson HM. Enhanced recovery after surgery: Pain management. J Surg Oncol, 2017, 116(5): 583-591.
7.	宋新明, 王吉甫, 趙繼宗, 等. 手術方式對炎性細胞因子和應激激素的影響. 中國危重病急救醫學, 1999, 11(7): 431-433.
8.	Hardy KV, Mueser KT. Editorial: trauma, psychosis and posttraumatic stress disorder. Front Psychiatry, 2017, 8: 220.
9.	Schwarz C, Fitschek F, Bar-Or D, et al. Inflammatory response and oxidative stress during liver resection. PLoS One, 2017, 12(10): e0185685.
10.	石學銀, 鄒最. 加速康復外科的麻醉管理. 中華消化外科雜志, 2015, 14(1): 38-42.
11.	Zhang A, Liu T, Zheng K, et al. Estimation of physiologic ability and surgical stress (E-PASS) scoring system could provide preoperative advice on whether to undergo laparoscopic surgery for colorectal cancer patients with a high physiological risk. Medicine (Baltimore), 2017, 96(33): e7772.
12.	韓傳寶, 錢燕寧, 周欽海. 術后鎮痛對機體應激反應的調控. 國外醫學(麻醉學與復蘇分冊), 2005, 26(2): 74-77.
13.	Simsek A, Kirecci SL, Bayar G, et al. Evaluation of per-operative cough stress test during transobturator mid-urethral sling surgery. Arch Ital Urol Androl, 2017, 89(3): 222-225.
14.	江志偉, 李寧. 結直腸手術應用加速康復外科中國專家共識(2015版). 中華胃腸外科雜志, 2015, 18(8): 785-787.
15.	Carli F. Physiologic considerations of Enhanced Recovery After Surgery (ERAS) programs: implications of the stress response. Can J Anaesth, 2015, 62(2): 110-119.
16.	Lupien S. The history of the science of stress: From Hans Selye to the discovery of anti-inflammatory medication. Sante Ment Que, 2015, 40(2): 275-286.
17.	Rovner ES, Lebed BD. Stress incontinence surgery: which operation when? Curr Opin Urol, 2009, 19(4): 362-367.
18.	黎介壽, 江志偉. 加速康復外科的臨床意義不僅僅是縮短住院日. 中華消化外科雜志, 2015, 14(1): 22-24.
19.	朱德祥, 韋燁, 任黎. 促進術后恢復綜合方案在結直腸癌根治術患者中的應用. 中華胃腸外科雜志, 2012, 15(6): 555-560.
20.	Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
21.	Kehlet H. Fast-track colorectal surgery. Lancet, 2008, 371(9615): 791-793．.
22.	Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
23.	唐滔, 李德寧, 吳高松, 等. 快速康復治療模式對腹腔鏡直腸癌患者價值的臨床研究. 中國現代醫學雜志, 2014, 24(28): 97-100.
24.	Yang D, He W, Zhang S, et al. Fast-track surgery improves postoperative clinical recovery and immunity after elective surgery for colorectal carcinoma: randomized controlled clinical trial. World J Surg, 2012, 36(8): 1874-1880.
25.	閆宏生, 姚南. 腹腔鏡直腸癌手術的研究現狀. 中華胃腸外科雜志, 2013, 16(5): 498-500.
26.	康安定, 蔣嘉睿, 江勃年, 等. 快速康復外科理念聯合腹腔鏡技術治療結直腸癌的臨床研究. 中國內鏡雜志, 2013, 19(8): 797-800.
27.	Karakoyun-Celik O, Gorken I, Sahin S, et al. Depression and anxiety levels in woman under follow-up for breast cancer: relationship to coping with cancer and quality of life. Med Oncol, 2010, 27(1): 108-113.
28.	中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
29.	Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg, 2009, 144(10): 961-969.
30.	張會明, 趙云剛. 快速康復外科在腹腔鏡結直腸癌手術中的應用. 河北醫藥, 2014, 36(21): 3302-3303.
31.	Paton F, Chambers D, Wilson P, et al. Effectiveness and implementation of enhanced recovery after surgery programmes: a rapid evidence synthesis. BMJ Open, 2014, 4(7): e005015.
32.	蘆霞, 賈海明, 米泰宇, 等. 快速康復外科技術對腹腔鏡膽囊切除術患者焦慮指數及應激指標的影響. 臨床肝膽病雜志, 2017, 33(2): 308-312.
33.	廖信芳, 李柱, 楊清水, 等. 快速康復外科對腹腔鏡輔助遠端胃癌根治術的應激影響. 南昌大學學報(醫學版), 2016, 56(2): 49-52.
34.	Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg, 2012, 36(2): 407-414.
35.	江恩來, 王帥, 劉中澤, 等. 加速康復外科對直腸癌根治術后患者應激指標的影響. 中國普外基礎與臨床雜志, 2017, 24(8): 982-986.

1. Rom O, Reznick AZ. The stress reaction: A historical perspective. Adv Exp Med Biol, 2016, 905: 1-4.
2. Manalo RVM. Anastasis and the ER stress response: Solving the paradox of the unfolded protein response in cancer. Med Hypotheses, 2017, 109: 25-27.
3. ?sapay G, ?sapay K. Stress and fertility. Orv Hetil, 2015, 156(35): 1430-1434.
4. 姜乾金. 醫學心理學. 北京: 人民衛生出版社, 2010: 38-45．.
5. Khoo B, Boshier PR, Freethy A, et al. Redefining the stress cortisol response to surgery. Clin Endocrinol (Oxf), 2017, 87(5): 451-458.
6. Nimmo SM, Foo ITH, Paterson HM. Enhanced recovery after surgery: Pain management. J Surg Oncol, 2017, 116(5): 583-591.
7. 宋新明, 王吉甫, 趙繼宗, 等. 手術方式對炎性細胞因子和應激激素的影響. 中國危重病急救醫學, 1999, 11(7): 431-433.
8. Hardy KV, Mueser KT. Editorial: trauma, psychosis and posttraumatic stress disorder. Front Psychiatry, 2017, 8: 220.
9. Schwarz C, Fitschek F, Bar-Or D, et al. Inflammatory response and oxidative stress during liver resection. PLoS One, 2017, 12(10): e0185685.
10. 石學銀, 鄒最. 加速康復外科的麻醉管理. 中華消化外科雜志, 2015, 14(1): 38-42.
11. Zhang A, Liu T, Zheng K, et al. Estimation of physiologic ability and surgical stress (E-PASS) scoring system could provide preoperative advice on whether to undergo laparoscopic surgery for colorectal cancer patients with a high physiological risk. Medicine (Baltimore), 2017, 96(33): e7772.
12. 韓傳寶, 錢燕寧, 周欽海. 術后鎮痛對機體應激反應的調控. 國外醫學(麻醉學與復蘇分冊), 2005, 26(2): 74-77.
13. Simsek A, Kirecci SL, Bayar G, et al. Evaluation of per-operative cough stress test during transobturator mid-urethral sling surgery. Arch Ital Urol Androl, 2017, 89(3): 222-225.
14. 江志偉, 李寧. 結直腸手術應用加速康復外科中國專家共識(2015版). 中華胃腸外科雜志, 2015, 18(8): 785-787.
15. Carli F. Physiologic considerations of Enhanced Recovery After Surgery (ERAS) programs: implications of the stress response. Can J Anaesth, 2015, 62(2): 110-119.
16. Lupien S. The history of the science of stress: From Hans Selye to the discovery of anti-inflammatory medication. Sante Ment Que, 2015, 40(2): 275-286.
17. Rovner ES, Lebed BD. Stress incontinence surgery: which operation when? Curr Opin Urol, 2009, 19(4): 362-367.
18. 黎介壽, 江志偉. 加速康復外科的臨床意義不僅僅是縮短住院日. 中華消化外科雜志, 2015, 14(1): 22-24.
19. 朱德祥, 韋燁, 任黎. 促進術后恢復綜合方案在結直腸癌根治術患者中的應用. 中華胃腸外科雜志, 2012, 15(6): 555-560.
20. Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Br J Surg, 2014, 101(10): 1209-1229.
21. Kehlet H. Fast-track colorectal surgery. Lancet, 2008, 371(9615): 791-793．.
22. Nygren J, Thacker J, Carli F, et al. Guidelines for perioperative care in elective rectal/pelvic surgery: Enhanced Recovery After Surgery (ERAS?) Society recommendations. Clin Nutr, 2012, 31(6): 801-816.
23. 唐滔, 李德寧, 吳高松, 等. 快速康復治療模式對腹腔鏡直腸癌患者價值的臨床研究. 中國現代醫學雜志, 2014, 24(28): 97-100.
24. Yang D, He W, Zhang S, et al. Fast-track surgery improves postoperative clinical recovery and immunity after elective surgery for colorectal carcinoma: randomized controlled clinical trial. World J Surg, 2012, 36(8): 1874-1880.
25. 閆宏生, 姚南. 腹腔鏡直腸癌手術的研究現狀. 中華胃腸外科雜志, 2013, 16(5): 498-500.
26. 康安定, 蔣嘉睿, 江勃年, 等. 快速康復外科理念聯合腹腔鏡技術治療結直腸癌的臨床研究. 中國內鏡雜志, 2013, 19(8): 797-800.
27. Karakoyun-Celik O, Gorken I, Sahin S, et al. Depression and anxiety levels in woman under follow-up for breast cancer: relationship to coping with cancer and quality of life. Med Oncol, 2010, 27(1): 108-113.
28. 中國醫師協會麻醉學醫師分會. 促進術后康復的麻醉管理專家共識. 中華麻醉學雜志, 2015, 35(2): 141-148.
29. Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery (ERAS) Group recommendations. Arch Surg, 2009, 144(10): 961-969.
30. 張會明, 趙云剛. 快速康復外科在腹腔鏡結直腸癌手術中的應用. 河北醫藥, 2014, 36(21): 3302-3303.
31. Paton F, Chambers D, Wilson P, et al. Effectiveness and implementation of enhanced recovery after surgery programmes: a rapid evidence synthesis. BMJ Open, 2014, 4(7): e005015.
32. 蘆霞, 賈海明, 米泰宇, 等. 快速康復外科技術對腹腔鏡膽囊切除術患者焦慮指數及應激指標的影響. 臨床肝膽病雜志, 2017, 33(2): 308-312.
33. 廖信芳, 李柱, 楊清水, 等. 快速康復外科對腹腔鏡輔助遠端胃癌根治術的應激影響. 南昌大學學報(醫學版), 2016, 56(2): 49-52.
34. Ren L, Zhu D, Wei Y, et al. Enhanced Recovery After Surgery (ERAS) program attenuates stress and accelerates recovery in patients after radical resection for colorectal cancer: a prospective randomized controlled trial. World J Surg, 2012, 36(2): 407-414.
35. 江恩來, 王帥, 劉中澤, 等. 加速康復外科對直腸癌根治術后患者應激指標的影響. 中國普外基礎與臨床雜志, 2017, 24(8): 982-986.

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Enhanced recovery after surgery from perspective of surgery stress

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