加速康复外科理念在头颈肿瘤手术的应用价值

Application value of enhanced recovery after surgery in head and neck cancer surgery

加速康复外科(ERAS)是指为使患者快速康复,在围手术期采取一系列的具有循证医学证据的优化措施,从而减少术后并发症、缩短住院时间,降低再入院风险及死亡风险。ERAS是多学科共同协作,针对患者病情进行个体化方案的制定,其已在外科多个领域广泛应用,但在耳鼻咽喉头颈外科,尤其头颈肿瘤手术尚较少应用;论文对ERAS在头颈肿瘤手术中的应用价值作简要阐述。

Enhanced recovery after surgery（ ERAS） involves a series of perioperative evidence-based interventions,which intends to attenuate surgical stress and accelerate postoperative functional recovery. ERAS protocols are made for individualized plans by multi-disciplinary collaboration,which has been widely used in many fields of surgery,but is still rarely used in head and neck surgery. ERAS plays an important role in improving survival rate and quality of life in head and neck cancer patients. In this article,we will discuss application value of ERAS in head and neck surgery in brief.