[Multidisciplinary team building in enhanced recovery after surgery]

Area of Science:

• Surgical innovation and patient recovery pathways.

Background:

• Ten years of developing Enhanced Recovery After Surgery (ERAS) in China, initiated by Academician Li Jieshou.
• ERAS pathways have been widely adopted in surgery, incorporating distinct Chinese characteristics.
• Current ERAS implementation relies on integrating multiple perioperative methods for optimal patient outcomes.

Purpose of the Study:

• To explore the development and integration of ERAS within China's healthcare system.
• To highlight the necessity of a patient-centered, multidisciplinary team (MDT) approach in ERAS.
• To investigate the establishment of an ERAS-MDT model tailored to China's national conditions.

Main Methods:

• Review of the 10-year progression of ERAS implementation in China.
• Analysis of the integration of perioperative methods within ERAS clinical pathways.
• Examination of the role and trend of multidisciplinary team (MDT) collaboration in ERAS.

Main Results:

• ERAS has been widely implemented, forming unique Chinese clinical pathways.
• No single method is sufficient; comprehensive perioperative strategies are essential for reducing patient stress.
• Multidisciplinary team (MDT) collaboration is identified as a key trend for patient-centered ERAS development.

Conclusions:

• Establishing an ERAS-MDT model adapted to China's context is a critical area for current research.
• The development of ERAS-MDT is expected to foster new ERAS services and technologies.
• Successful ERAS-MDT implementation holds the potential to significantly improve surgical treatment and patient benefits.