结直肠手术围手术期加速康复外科治疗的细化

The refinement offast-track pathways in colorectal surgery

加速康复外科在结直肠肿瘤手术的围手术期应用经历了一系例的变化和发展,其核心措施如充分镇痛、早期进食、硬膜外麻醉等正在不断地被丰富、充实。并有足够的循证医学证据证明了其在减少并发症、住院时间和费用上起到了明显作用。笔者对结直肠手术围手术期加速康复外科治疗做出一系列的细化,以期更好的指导临床应用。

Fast-track pathways are a multimodal approach to the perioperative management of patients undergoingcolorectal surgery designed to improve the overall quality of care .These pathways use existing evidence to streamline and standardize the perioperative management of patients to improve pain management , speed intestinal recovery , thus minimizing complications , decreasing the use of hospital resources and health care costs .A refinement of fast-track pathways in colorectal surgery is given in the article to guide the clinical practice .