注重循证医学提升胃肠外科质量

Evidence-based medicine should be emphasized to improve the quality of gastrointestinal surgery

随着循证医学概念的不断深入和胃肠外科疾病谱的改变,胃肠外科的发展也再次面临机遇和挑战。系统化的外科质量控制,对学科的发展起着积极作用。若没有高级别循证医学依据的支持,微创技术的推广还应慎重。并发症定义的标准化和统一管理有助于临床研究的开展和并发症防治水平的提高。多学科团队和加速康复外科的理念和实施,可为患者提供个体化的规范治疗。

With the further application of evidencebased medicine and the change of disease spectrum,gastrointestinal surgery is facing the novel challenge and opportunity.Systemic quality control of surgery will have positive effects on the subject development.Absence of high level of evidence,the popularization of mini-invasive surgery should be carried out cautiously.Standardization of definition of complications and unified management will be helpful to the clinical researches,prevention and treatment of complications.Conception and implementation of multidisciplinary team and enhanced recovery after surgery will provide every patient individualized and standard treatment.