加速康复外科在根治性全膀胱切除及尿流改道术的应用现状及探讨

Application and discussion of enhance recovery after surgery in radical cystectomy and urinary diversion

加速康复外科(ERAS)最先提出于结直肠手术,目的在于减少患者术后并发症,缩短住院时间,使患者能够更快康复,降低医疗资源浪费,缩减患者花费。这一理念在不断的发展和完善的同时推广到很多学科,其中也经历很多波折,因为ERAS的具体措施有很多是与传统的外科教条相矛盾的。对此,我们探讨ERAS在全膀胱切除及尿流改道术的应用,并做一综述。

Enhance recovery after surgery(ERAS)was first put forward in colorectal surgery to reduce postop?erative morbidity,shorten length of hospital stay,help patients rehabilitate faster,greatly reduce the waste of medical resources to a certain extent,besides for the cost of patients. The concept was brought into China from the west,un?der increasingly development and improvement,spread to many disciplines. Because the measures of ERAS have many contradictories to the traditional surgical dogmas,it caused many obstructions. This review discussed the appli?cation of ERAS in radical cystectomy and urinary diversion for bladder cancer.