关键词: 围手术期外科之家, 进展期肿瘤, 共同决策, 全流程管理, 加速康复外科

Abstract: Application of the perioperative surgical home in the surgical treatment of advanced tumors        LI Zi-yu. Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
Abstract    The perioperative surgical home(PSH) is essentially a patient-centered surgical model, which emphasizes the shared decision making of doctors and patients and the whole process management of patients to reduce medical expenses and improve medical quality. The concept is particularly important in the surgical treatment of advanced tumors, which is mainly reflected in the following aspects. Before surgery, preoperative rehabilitation and the nutritional indicators of patients play an important role to improve perioperative surgery safety and long-term prognosis. During the perioperative period, ERAS is the core of PSH. Besides, the technology and the concept of minimally invasive surgery helps the application of PSH in the surgical treatment of advanced tumors. How to reduce the occurrence of perioperative complications is the basic requirement of PSH for the surgical treatment of advanced tumors. The sequence and timing of perioperative therapy is an important manifestation of the whole process management of PSH. The shared decision making is an important feature of PSH, which is not only the highlights of humanistic care but also the development of individualized treatment and precision treatment in the era of evidence-based medicine. The PSH is the direction of future medical development, instead of a new concept.

Key words: perioperative surgical home；advanced tumor；shared decision-making, whole process management, enhanced recovery after surgery