Accelerated rehabilitation in thoracic surgery

  Can I start eating on the first day after esophageal cancer surgery? Can you get out of bed and move around? Yes! This is possible with the accelerated recovery model (fast track surgery), which I started in late 2010 and which has already benefited many patients.  The main elements of fast track surgery for esophageal cancer include: aggressive preoperative improvement of nutritional status and; minimally invasive surgery, effective postoperative analgesia, application of reliable gastroesophageal anastomosis technique to ensure the safety of early feeding; feeding by mouth, removal of conventional chest tube, removal of gastrointestinal decompression tube and urinary catheter, and getting out of bed on the first day after surgery; clinical support can be stopped and clinical discharge criteria can be met 5-7 days after surgery.  The main components of rapid rehabilitation surgery for lung cancer include: active promotion of sputum evacuation before surgery; application of minimally invasive surgery, effective postoperative analgesia to eliminate incisional pain during the surgical period; universal feeding, removal of urinary catheter, and bed activity on the first postoperative day; and chest tube removal according to pulmonary resuscitation. This model allows patients to be discharged 2-4 days after surgery.  Compared with the traditional treatment model, the new model has many advantages. The main advantages include accelerated patient recovery, reduced postoperative pain and complications, significantly reduced hospitalization costs, and the vast majority of patients do not feel severe incisional pain after surgery due to the application of effective analgesic techniques.