加速康复外科在食管癌手术治疗中的应用与进展  

The application and progress of enhanced recovery after surgery in the surgical treatment of esophageal cancer

作　　者：栾宇杰 施庆彤[1] 包阳 LUAN Yujie;SHI Qingtong;BAO Yang(Department of Thoracic Surgery,Affiliated Hospital of Yangzhou University,Yangzhou,225000,Jiangsu,P.R.China;Graduate School,Dalian Medical University,Dalian,116044,Liaoning,P.R.China)

机构地区：[1]扬州大学附属医院胸外科,江苏扬州225000 [2]大连医科大学研究生院,辽宁大连116044

出　　处：《中国胸心血管外科临床杂志》2024年第3期454-461,共8页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

摘　　要：食管癌因其高发病率和死亡率长期威胁人类的生命健康安全。外科手术治疗仍是目前食管癌的主要治疗方式,但其围术期的高死亡率和并发症发生率对食管癌患者造成了巨大的生理心理负担。加速康复外科(enhanced recovery after surgery,ERAS)理念最早被提出应用于结直肠手术,后被推广至其他众多外科手术领域。其在食管癌手术中的应用,成功降低了食管癌围术期的死亡率和并发症发生率,并促进了患者的快速康复。然而,ERAS在食管癌领域的应用历时较短,相比其他外科,其推广和实践应用的范围相对有限。本文结合目前国内食管癌的ERAS应用进展,对国内外食管癌ERAS应用的相关文献进行综述;同时对目前食管癌ERAS推行的相关问题做一梳理,以期能对ERAS在食管癌手术治疗中的推广应用提供参考。Esophageal cancer threatens the lives and health of humans for a long time owing to its high morbidity and mortality.Surgical treatment is still the first choice for early-stage esophageal cancer now,but its high mortality and complication rate during perioperative period cause a huge physiological and psychological burden on patients.The concept of enhanced recovery after surgery(ERAS)was first proposed for colorectal surgery,and later promoted to other surgical fields.Its application in esophagectomy successfully reduces the high mortality and complication rate in the perioperative stage and promotes the rapid recovery of patients.However,the application of ERAS in the field of esophageal cancer is relatively late,and its promotion and application are relatively limited compared to other surgical procedures.In this paper,we review the relevant literature at home and abroad in combination with the current progress of ERAS application of esophageal cancer in China.We also summarize the relevant problems related to the implementation of ERAS,in order to help the promotion and application of ERAS in the surgical treatment of esophageal cancer.

关 键 词：加速康复外科 食管癌 手术治疗 综述 

分 类 号：R735.1[医药卫生—肿瘤]