[PERIOPERATIVE TEAM COOPERATION IN OKAYAMA UNIVERSITY HOSPITAL].

Area of Science:

• Medical Management
• Surgical Oncology
• Patient Care

Background:

• Traditional perioperative management relied heavily on individual surgeon expertise.
• Shortened hospital stays limit preoperative patient preparation time.
• This can impact patients' physical and mental readiness for surgery.

Purpose of the Study:

• To evaluate the impact of a dedicated Perioperative Management Center (PERIO) on patient care for esophageal cancer surgery.
• To assess the effectiveness of multidisciplinary team intervention in enhancing perioperative management.
• To improve patient outcomes and psychological preparedness for surgery.

Main Methods:

• Establishment of the Perioperative Management Center (PERIO) at Okayama University Hospital in 2008.
• Implementation of multidisciplinary team approach for patients undergoing esophageal cancer surgery since 2009.
• Information sharing and coordinated interventions from the preoperative outpatient period.

Main Results:

• Earlier resumption of postoperative mobility observed in patients managed by PERIO.
• Significant reduction in postoperative hospital stay duration.
• Patient surveys indicated an improved ability to face surgery calmly due to the PERIO environment.

Conclusions:

• The PERIO model facilitates a safer and more supportive perioperative environment.
• Multidisciplinary team intervention is effective in improving surgical patient outcomes.
• Enhancing intraoperative and postoperative interventions within PERIO is recommended for future improvements.