加速康复外科在先天性巨结肠中的应用

Application of enhanced recovery after surgery in Hirschsprung's disease

加速康复外科(enhanced recovery after surgery,ERAS)是一个优化围术期措施的全新理念,近年来在成人结直肠外科领域发展较快,但ERAS在先天性巨结肠(Hirschsprung’s disease,HD)中的应用较少。近年来随着对ERAS研究的不断深入,发现传统围术期的一些理念不利于HD患儿术后康复,因此,推动了ERAS在HD中的应用与研究,虽然有报道ERAS的一些优化围术期措施对HD患儿术后康复有较好的作用,但是由于缺乏足够的循证医学证据,仍然面临许多困难和挑战,因此,笔者针对HD围术期的优化措施,查阅相关文献加以归纳总结,就ERAS在HD中的应用情况作一综述。

Enhanced recovery after surgery(ERAS)is a new concept of optimizing perioperative measures.In recent years,it has developed rapidly in the field of adult colorectal surgery.However,the application of ERAS in Hirschsprung's disease is not so much.In recent years,with the deepening of the research on ERAS,some traditional perioperative concepts are not conducive to the postoperative rehabilitation of Hirschsprung's disease.Therefore,it promotes the application and research of ERAS in Hirschsprung's disease.Although there are reports that some measures of optimizing perioperative period of ERAS have a good effect on the postoperative rehabilitation of patients with Hirschsprung's disease,there are still many difficulties and challenges due to the lack of sufficient evidence-based medical evidences.Therefore,the optimization measures during perioperative period of Hirschsprung's disease were summarized by referring to relevant literatures.In this paper,we review the application of ERAS in Hirschsprung's disease.