结直肠癌快速康复外科的发展与问题

Development and challenge in the fast-track surgery for colorectal cancer

自2001年快速康复概念提出以来,其在结直肠癌患者手术治疗过程中便有了极为深入的应用。研究表明,接受快速康复的患者获得了早期恢复、缩短了住院时间,同时降低了住院的费用。根据英国NICE指南推荐,快速康复是值得在结直肠癌外科治疗中推荐使用的。从结直肠癌快速康复外科的理念与发展、优势、对老年患者康复的作用及经济效益4个方面来探讨快速康复在结直肠癌领域近10年来的发展与问题。

Since the concept of fast-track was raised in 2001, it has been widely used in the surgical treatment for colorectal cancer. Several studies showed that patients receiving fast-track surgery gained enhanced recovery,shorter hospital stays and less cost. The British NICE guideline also strongly recommends the use of fast-track surgery in colorectal cancer patients. The present review would discuss the concept, development, advantage, impact on the recovery of elderly patients and the cost effectiveness of fast-track surgery over the past 10 years.