Enhanced Recovery After Surgery pada Kanker Payudara

Abstract

ABSTRACT: Breast cancer is the most common cancer and also the leading cause of cancer death in women worldwide. Approximately 1.38 million new cases of breast cancer were diagnosed in 2008 with almost 50% of all breast cancer patients and approximately 60% of deaths occurring in developing countries. There is a large difference in breast cancer survival rates worldwide, with estimated 5-year survival rates of 80% in developed countries to below 40% in developing countries. Breast cancer remains a global health problem today, especially in women. According to data from the Global Burden of Cancer Study (GLOBACAN) 2020, breast cancer in women ranks the highest cancer case in the world at 2.3 million (11.7%) per year, surpassing lung cancer (11.4%), colorectal cancer (10.0%), prostate cancer (7.3%) and gastric cancer (5.6%). Meanwhile, the cancer that causes the highest death is lung cancer, with an estimated death rate of 1.8 million deaths (18%), followed by colorectal cancer (9.4%), liver cancer (8.3%), gastric cancer (7.7%), and breast cancer in women (6.9%). This literature review aims to describe the definition, epidemiology, clinical signs, causative factors, and approaches to handling language development disorders. The method used is a literature study by analyzing sources related to Enhanced Recovery After Surgery in Breast Cancer. The results show that surgery is the main therapy for the treatment of early stage and locally advanced breast cancer. Surgery can cause post-operative complications that can worsen the patient's condition and increase the patient's mortality rate. Major surgery causes a physiological stress response that is potentially detrimental and has an impact on the length of treatment and increased post-surgical morbidity. Implementation of the ERAS (Enhanced Recovery After Surgery) protocol can reduce surgical stress and maintain post-surgical physiological function, thereby accelerating the recovery process.