快速康复理念下胃癌腹腔镜手术患者营养管理研究现状

Nutritional management of patients undergoing laparoscopic surgery for gastric cancer based on the concept of rapid rehabilitation

胃癌(gastric cancer,GC)作为一种常见的恶性肿瘤,在疾病的发生、发展及手术的过程中极易发生营养不良的情况.快速康复(fast track surgery,FTS)作为一种基于循证医学的围手术期医疗理念,在营养管理中发挥着重要的作用,包括术前营养不良筛查和治疗、术前营养管理,术后早期口服喂养、加速促进胃肠道功能的恢复、提供营养支持.基于一系列的小样本研究,FTS在GC腹腔镜营养管理中的安全性和重要性逐渐显现,而临床实施中却进展困难.本文将就近十年来FTS在GC腹腔镜营养管理领域的研究进展进行综述.

As a common malignant tumor,patients with gastric cancer(GC)are prone to malnutrition during the development and treatment of the disease.Fast track surgery(FTS),as a perioperative medical concept based on evidence-based medicine,plays an important role in nutrition management,including preoperative malnutrition screening and treatment,preoperative nutritional management,postoperative early oral feeding,accelerated promotion of gastrointestinal function recovery,and nutritional support.Based on a series of small sample studies,the safety and importance of FTS in laparoscopic nutrition management of GC are gradually emerging,but clinical implementation is difficult.This article will review the research progress of FTS in the field of laparoscopic nutrition management of GC in the past decade.