国际肿瘤学杂志 ›› 2020, Vol. 47 ›› Issue (3): 185-189.doi: 10.3760/cma.j.issn.1673-422X.2020.03.011

• 综述 • 上一篇    下一篇

加速康复外科理念在减少胃癌手术应激反应中的应用与进展

陈邦1,2, 陈博1,2()   

  1. 1 安徽医科大学研究生院,合肥 230022;
    2 安徽医科大学第一附属医院胃肠外科,合肥 230022
  • 收稿日期:2019-09-06 修回日期:2019-10-07 出版日期:2020-03-08 发布日期:2020-05-27
  • 通讯作者: 陈博 E-mail:chenbo831116@163.com
  • 基金资助:
    国家自然科学基金(81602425)

Application and progress of the concept of enhanced recovery after surgery in reducing surgical stress response in gastric cancer

Chen Bang1,2, Chen Bo1,2()   

  1. 1 Graduate School of Anhui Medical University, Hefei 230022, China;
    2 Department of Gastrointestinal Surgery, First Affiliated Hospital of Anhui Medical University, Hefei 230022, China
  • Received:2019-09-06 Revised:2019-10-07 Online:2020-03-08 Published:2020-05-27
  • Contact: Chen Bo E-mail:chenbo831116@163.com
  • Supported by:
    National Natural Science Foundation of China(81602425)

摘要:

随着加速康复外科(ERAS)理念及路径的深入发展以及相关研究证实其有效性和可行性,ERAS在临床实践中得到了更广泛的应用。近年来研究表明,ERAS逐渐应用于胃肠外科,通过诊疗方案的最优化,包括术前准备、麻醉方案、手术方式、术后康复等,在围手术期可一定程度提升胃癌患者的临床诊疗效果,降低手术风险,且在减少术后应激反应中发挥重要作用。为加快胃癌术后恢复速度,ERAS已引起人们的高度关注。

关键词: 胃肿瘤, 康复, 最小侵入性外科手术, 手术应激反应

Abstract:

With the further development of the concept and path of enhanced recovery after surgery (ERAS) and the confirmation of its effectiveness and feasibility in relevant studies, it has been more widely used in clinical practice. In recent years, studies have shown that ERAS is gradually applied in gastrointestinal surgery. By optimizing the diagnosis and treatment program, including preoperative preparation, anesthesia scheme, surgical procedure and postoperative rehabilitation, etc., in the perioperative period of gastric cancer, ERAS can improve the clinical diagnosis and treatment of gastric cancer patients to a certain extent, reduce the operation risk, and play an important role in reducing the postoperative stress reaction. ERAS has attracted great attention in order to accelerate the recovery of gastric cancer after surgery.

Key words: Stomach neoplasms, Rehabilitation, Minimally invasive surgical procedures, Surgical stress response