在食道切除术中加强手术后恢复 (ERAS) 协议:对当前实践的全面审查
Diamantis I Tsilimigras1, Mahdi Neshan2, Dimitrios Papaconstantinou3
1Department of Surgery, James Comprehensive Cancer Center, The Ohio State University Wexner Medical Center, 395 W. 12th Ave, Columbus, OH, USA. diamantis.tsilimigras@osumc.edu.
Updates in surgery
|March 5, 2026
概括
手术后增强恢复 (ERAS) 协议加速患者的康复,但它们在食道切除术中的使用仍在争论中. 本审查总结了ERAS的组成部分,并确定了未来指导方针共识的差距.
科学领域:
- 手术方案 手术方案
- 在外科手术后的护理
- 胃肠道手术 胃肠道手术
背景情况:
- 手术后增强恢复 (ERAS) 协议是广泛采用的多模式途径,以改善手术患者的康复.
- 虽然在结肠直肠,腹和骨科手术中已经建立,但ERAS在食道手术中的实施仍在讨论中.
- 越来越多的中心正在采用ERAS的食道切除协议,尽管缺乏普遍接受.
研究的目的:
- 对专门针对食道切除术患者的ERAS协议的组成部分进行全面审查.
- 检查有关食道手术的ERAS指南中的当前变化.
- 确定研究缺口,这些缺口对于制定普遍接受的ERAS指南至关重要.
主要方法:
- 对ERAS协议在食道切除术中的现有文献进行系统审查.
- 分析ERAS实施的术前,术后和术后阶段.
- 对当前关于食道手术的ERAS指南的比较评估.
主要成果:
- 埃拉斯协议涵盖了对食道切除术所有手术阶段的多式模式策略.
- 目前的ERAS指南存在显著差异,阻碍了普遍采用.
- 确定了需要进一步研究的关键领域,以完善和标准化协议.
结论:
- ERAS协议提供了一个结构化的方法,以优化食道切除术后的恢复.
- 需要对ERAS指导方针进行标准化,以应对当前的差异并达成共识.
- 未来的研究应该集中在发现的差距上,以建立基于证据的,普遍接受的ERAS食管切除术协议.
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