微创食管癌手术镇痛方法的研究进展  

Research Progress on Analgesia Methods for Minimally Invasive Esophageal Cancer

作　　者：倪海芳 陈春阳 朱烨静[1] NI Haifang;CHEN Chunyang;ZHU Yejing

机构地区：[1]浙江省肿瘤医院,浙江杭州310022 [2]中南大学湘雅二医院

出　　处：《中国医学创新》2023年第19期178-183,共6页Medical Innovation of China

基　　金：浙江省医药卫生科技计划项目(2021KY107)。

摘　　要：食管癌的微创手术技术(minimal invasive esophagectomy,MIE)已逐渐得到普及与推广,其与开放手术相比有着较为明显的优势。术后有效的镇痛管理可以使患者术后早期康复。尽管微创技术普及,但是微创食管癌手术的最佳镇痛方法依然没有明确。近年来,国内外开展了许多关于食管癌手术术后镇痛策略的研究,但微创食管癌手术的研究策略相对较少。微创技术的引入,需要新的镇痛方法来适应改变后的术后疼痛管理。本文将从MIE手术方法、目前各镇痛策略有效性和安全性、食管切除术ERAS与镇痛的研究现状进展进行综述,旨在为临床进行微创食管癌手术的镇痛工作提供相应的理论支持。The minimal invasive esophagectomy(MIE)technique for esophageal cancer has gradually gained popularity and promotion,and it has obvious advantages over open surgery.Effective postoperative analgesic management allows patients to recover early after surgery.Despite the popularity of minimally invasive techniques,the best analgesic method for MIE remains unclear.In recent years,many studies have been carried out on postoperative analgesia strategies for esophageal cancer surgery,but there are relatively few research strategies for MIE.The introduction of minimally invasive techniques requires new analgesic approaches to adapt to changed postoperative pain management.In this paper,we reviewed the studies on MIE surgery types,the effectiveness and safety of current analgesic strategies,and ERAS of esophagectomy,aiming to provide theoretical support for analgesia of MIE.

关 键 词：食管癌 微创食管癌手术 镇痛 

分 类 号：R735.1[医药卫生—肿瘤] R614[医药卫生—临床医学]