Abstract
Enhanced recovery after surgery (ERAS) has been used in various surgical professions in recent years and is widely accepted by doctors. This concept not only helps patients speed up postoperative recovery, reduce the incidence of related complications and shorten hospital stays, but also has been proved to be effective and safe in the perioperative application of gastric cancer. This article reviews the clinical application and research progress of enhanced recovery after surgery in the perioperative period of advanced gastric cancer in the elderly.
Highlights
OverviewAccording to GLOBOCAN data in 2018 [1] [2], the number of gastric cancer patients worldwide is about 103 million
Enhanced recovery after surgery (ERAS) has been used in various surgical professions in recent years and is widely accepted by doctors. This concept helps patients speed up postoperative recovery, reduce the incidence of related complications and shorten hospital stays, and has been proved to be effective and safe in the perioperative application of gastric cancer
Preoperative Nutritional Improvement For elderly patients with gastric cancer, often combined with malnutrition, is the main clinical problem of gastrointestinal malignant tumors, malnutrition in hospitalized patients reached 50% - 60%, up to 71% in cancer patients [13]; malnutrition led to hospitalization Prolonged time, increased postoperative complications, slow recovery of postoperative bowel function, high readmission rate, high postoperative mortality; evidence [14], preoperative nutritional status is a key determinant of optimal outcome in gastrointestinal surgery avoid preoperative fasting before surgery, optimize preoperative nutrition, oral nutritional supplements and immunonutrient preparations; Sonvi research shows [15], preoperative oral immunonutrition preparations, postoperative complications are lower, it is recommended that all preoperative The patient underwent 5 to 7 days of on-site immunonutrition [16]
Summary
According to GLOBOCAN data in 2018 [1] [2], the number of gastric cancer patients worldwide is about 103 million. In China, the incidence and mortality of gastric cancer have declined in recent years, it accounted for about 11 percent of all cancers and 12.8 percent of all deaths. Based on evidence-based medicine, ERAS is a multidisciplinary collaboration that reduces post-stress and accelerates postoperative recovery. It was first proposed by Danish surgeon Kehlet et al [6] in 1997 and in China by 2007. Professor Zhiwei’s application in gastric cancer [7] has been widely used in various surgical fields This concept runs through preoperative, intraoperative and postoperative operations. Application of Eras in Perioperative Period of Advanced Gastric Cancer in the Elderly
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