二例应用NOSES联合ERAS治疗的结肠癌患者的报道  

Two case reports of colorectal patients with perfect combination of enhanced recovery after surgery and natural orifice specimen extraction surgery

作　　者：李洪明[1] 刁德昌[1] 柯乙森 李杰[2] 易小江 卢新泉 邓晨晖[2] 单葵顺[2] 万进[1] Li Hongming;Diao Dechang;Ke Yisen;Li Jie;Yi Xiaojiang;Lu Xinquan;Deng Chenhui;Shan Kuishun;Wan Jin(Department of Colorectal Surgery,Guangdong Provincial Hospital of TCM,Guangzhou,510120,China;Department of Anesthesiology,Guangdong Provincial Hospital of TCM,Guangzhou,510120,China)

机构地区：[1]广东省中医院结直肠外科,510120 [2]广东省中医院麻醉科,510120

出　　处：《中华结直肠疾病电子杂志》2020年第5期521-524,共4页Chinese Journal of Colorectal Diseases(Electronic Edition)

摘　　要：经自然腔道取标本手术(NOSES)和加速康复外科(ERAS)都是目前腹部微创外科领域的热点话题,他们的核心理念都是为了能够减少手术创伤和应激,让患者能够达到快速康复的目的,内容包含术前准备,麻醉与镇痛,外科干预及术后康复的全程团队管理。近期,广东省中医院在二者的优化结合方面做了一些探索,通过极致微创手术、精准麻醉、全程疼痛管理,再加上严格的术前准备、完整的术后随访,使得手术患者的身心应激和创伤最小化。Natural orifice specimen extraction surgery(NOSES)and enhanced recovery after surgery(ERAS)are the current hot topic in the field of abdominal minimally invasive surgery.The multidisciplinary and multimodal approach consists of the whole course management of preoperative preparation,anesthesia and analgesia,minimally invasive surgery and postoperative rehabilitation with the core principle of reducing surgical trauma and stress,accelerating recovery.Recently,our team has made efforts to explore the effect of optimal combination of minimal invasive surgery,precise anesthesia,whole-course pain management,as well as strict preoperative preparation and postoperative follow-up to minimize the physical and mental stress and trauma of surgical patients.

关 键 词：乙状结肠肿瘤 经自然腔道取标本手术 加速康复外科 微创手术 精准麻醉 全程团队管理 

分 类 号：R735.35[医药卫生—肿瘤]