[Quality control of perioperative management after radical surgery for locally advanced gastric cancer]

Zhonghua Wei Chang Wai Ke Za Zhi. 2024 Feb 25;27(2):158-162. doi: 10.3760/cma.j.cn441530-20240109-00013.
[Article in Chinese]

Abstract

Gastric cancer is a common malignant tumor in China. Most gastric cancer patients are already in the locally advanced stage when they seek medical treatment. Radical surgery is the main treatment for gastric cancer. The quality control of postoperative perioperative management is of great significance in improving the surgical treatment effect and the quality of life of patients. This article systematically summarizes seven aspects, including diet and nutrition management, antimicrobial drug management, pain management, prophylactic anticoagulation management, airway management, postoperative complication management, and discharge and follow-up management, establishes clear quality standards, and achieves the goals of reducing postoperative complications, standardizing perioperative medication use, reducing hospitalization time and costs, thereby reducing patient burden and improving the economic and social benefits of medical institutions.

胃癌是我国常见的恶性肿瘤。多数胃癌患者就诊时已处于局部进展期,根治性手术是治疗胃癌的主要手段。术后围手术期管理的质量化控制在提高手术治疗效果和患者生活质量等方面具有重要意义。术后围手术期管理包括饮食与营养管理、抗菌药物管理、疼痛管理、预防性抗凝管理、气道管理、术后并发症管理以及出院与随访管理等7个方面。针对这几个方面建立明确的质量化标准,规范围手术期药物使用、预防和避免术后并发症的发生,才能达到减少住院时间和住院费用的目的,从而减轻患者负担,提高医疗机构的经济效益和社会效益。.

Publication types

  • English Abstract

MeSH terms

  • Gastrectomy / adverse effects
  • Humans
  • Neoplasms, Second Primary* / complications
  • Neoplasms, Second Primary* / surgery
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Quality Control
  • Quality of Life
  • Retrospective Studies
  • Stomach Neoplasms* / complications
  • Stomach Neoplasms* / surgery