加速康复外科在结直肠癌中的应用

Enhanced recovery after surgery in colorectal cancer

加速康复外科(ERAS)是一种优化的围手术期的先进理念,包含一系列能够促进患者术后康复,减少手术应激及并发症,缩短住院时间,降低住院费用的措施。ERAS理念在外科领域得到了广泛应用和推广,但目前国内ERAS的普及率仍很低,这可能与外科医师和患者对这一概念的认识不足有关。本文对ERAS在结直肠癌中的应用及最新进展做一综述,并深入分析ERAS对结直肠癌患者长期生存率的影响,为ERAS在结直肠肿瘤外科中的推广应用提供参考,从而使更多结直肠癌患者从中受益。

As a optimized advanced concept of perioerative period, enhanced recovery after surgery （ERAS） employs a multimodal perioperative care pathway with the aim of accelerating recovery, attenuating the stress response to surgery, reducing complications, shortening file postoperative hospital stay and decreasing hospital expenditure. The ERAS principle has been accepted and expanded extensively in file surgery field, however, file popularization of ERAS in China is still very low, which may be relative to insufficient understanding of ERAS among surgeons and patients. We reviewed the application and latest advancement of ERAS in colorectal cancer, and make a deep analysis of influence on file long-trem survival so as to provide a reference for the widespread application of ERAS in colorectal cancer and make more