加速康复外科多学科团队建设

Multidisciplinary team building in enhanced recovery after surgery

自黎介寿院士将加速康复外科（ERAs）理念引入中国以来，我国外科医师探索符合中国实际ERAS之路已有10年。时至今日，ERAS已经在我国外科领域广泛开展，并逐渐形成具有中国特色的ERAs临床路径。ERAs的临床实施有赖于一系列围手术期处理方法的有效整合，任何单一的技术或方法均不可能完全减少手术患者围手术期的生理及心理创伤应激，达到患者快速康复的目的。因此，以患者为中心的多学科协作团队（MDT）是ERAs发展的必然趋势。在借鉴国外经验的基础上，建立符合我国国情的ERAs．MDT模式是目前亟待研究的新课题。通过ERAs．MDT建设，促进ERAs新业务、新技术的开展，并最终促进外科治疗水平的提高，将为社会和患者带来巨大的临床获益。

There has been 10 years to explore the road in line with China＇s actual enhanced recovery after surgery （ERAS） since Academician Li Jieshou introduced the view of ERAS into China. ERAS has been widely carried out in the field of surgery, and gradually formed with Chinese characteristics of ERAS clinical pathway. The clinical implementation of ERAS relies on the effective integration of a series of perioperative methods, and any single technique or method can＇ t completely reduce the perioperative physiological and psychological traumatic stress of the patient, so as to achieve the patient＇s rapid rehabilitation patient-centered muhidisciplinary team （MDT）collaboration is an inevitable trend in ERAS development. On the basis of drawing lessons from foreign experience, the establishment of ERAS-MDT model in line with China＇s national conditions is a new subject that needs to be studied at present. The construction of ERAS-MDT might promote the development of new ERAS services, new technologies, and ultimately promote the improvement of surgical treatment, and bring the greatest clinical benefit to the society and patients.