标准化与规范化:《食管切除术围手术期治疗指南:加速康复外科协会推荐》解读

Standardization and Normalization:Interpretation on Guidelines for Perioperative Care in Esophagectomy:Enhanced Recovery after Surgery Society Recommendations

加速康复外科(enhanced recovery after surgery,ERAS)理念能有效加快患者术后恢复,改善预后,降低住院费用,从而达到更满意的医疗效果。一组国际食管癌外科管理专家针对食管切除术,结合国内外最新文献及其证据水平,最终制定了共39个部分的《食管切除术围手术期治疗指南:加速康复外科协会推荐》。这是针对食管切除术ERAS的第一个指南,以期在围手术期医学模式下对ERAS临床实践的规范化开展起到更好的促进作用。本文对该指南进行解读,诠释其中重点推荐内容及热点问题。

The concept of enhanced recovery after surgery( ERAS) can effectively accelerate the recovery of patients after surgery,improve prognosis,reduce hospitalization costs,and thus get better medical results. According to the latest literature at home and abroad,a group of international experts on the surgical management of esophageal cancer systematically assessed the evidence level and overall recommendation of all parts based on the evaluation system. Finally,a total of 39 parts of the Guidelines for Perioperative Care in Esophagectomy: Enhanced Recovery after Surgery Society Recommendations were formulated. This is the first guidance on ERAS of esophagectomy,with a view to promoting the standardization of clinical practice of ERAS in the perioperative medical modality. This paper interprets the guidelines and explains the hot issues.