加速康复外科指导下微创食管癌切除术流程优化之齐鲁实践

Optimization of the procedures in minimally invasive esophagectomy: the Qilu practices

食管癌是我国常见的发病率及死亡率均较高的恶性肿瘤,手术治疗是食管癌最主要的治疗方式,随着腔镜技术的发展,目前微创食管癌切除术(MIE)正在逐步取代传统开放食管癌切除术。加速康复外科(ERAS)是食管外科领域新兴的研究方向,山东大学齐鲁医院胸外科在ERAS原则指导下,不断优化MIE相关操作流程,让患者尽可能舒适地度过围手术期。现将山东大学齐鲁医院胸外科开展的ERAS指导下MIE流程优化措施进行总结,以期为国内外胸外科同行提供一定的参考。

Esophageal cancer, as a common malignant cancer with high morbidity and mortality, is mainly treated with surgery. With the development of endoscope technology, minimally invasive esophagectomy(MIE) is taking the place of open esophagectomy. Enhanced recovery after surgery(ERAS) is a new research area in the treatment of esophageal cancer. Guided with the principles of ERAS, our team has optimized the procedures of MIE to ensure that patients undergo the perioperative period smoothly. In this paper, we will summarize these optimized procedures of MIE in order to provide reference for thoracic surgeons.