快速康复外科在胃癌外科的应用与展望

Application and prospect of fast-track surgery in gastric cancer

快速康复外科是利用新的医学证据为优化围手术期患者管理提供依据，外科医师通过整合和应用这些新证据形成一整套围手术期的管理方法，以达到减少患者生理及心理上的应激反应，加快患者的康复。快速康复外科已应用于多种外科疾病的治疗，包括心脏手术、全膝关节置换、结直肠手术等。胃癌是世界第四常见、病死率第二的恶性肿瘤。外科手术是胃癌治疗的里程碑，也是唯一的、有效的根治胃癌的手段。但快速康复外科在胃癌治疗中的应用还在不断完善。本文就快速康复外科在胃癌外科的应用进展进行综述。

Fasttrack surgery is the basis for the use of new medical evidence to optimize the management of perioperative patients. The surgeon forms a set of perioperative treatments by integrating and applying these new evidences to reduce the physical and psychological stress response of patients, and to speed up the rehabilitation of patients. Fasttrack Surgery has been used in the treatment of a variety of diseases, including cardiac surgery, total knee replacement, and colorectal surgery. Gastric cancer was the fourth in the most common cancer sorts and the second in death rate in the world. Surgery is a milestone in the treatment of gastric cancer, and is the only effective means to cure. Fasttrack surgery in the treatment of gastric cancer is still constantly improving. This article reviews the application of fasttrack surgery in gastric cancer surgery.