Oikawa Masato, Hanada Masatoshi, Hidaka Shigekazu, Nagayasu Takeshi, Kozu Ryo
Department of Rehabilitation, Nagasaki University, Nagasaki, Japan.
Kyobu Geka. 2016 Jan;69(1):59-64.
The esophagectomy for esophageal cancer is major surgery and has the highest rate of postoperative pulmonary complications. Respiratory physiotherapy in patients undergoing esophagectomy has been applied to improve oxygenation and airway secretion clearance. Recently, the utility and effectiveness of enhanced recovery after surgery for gastroenterological surgery have been reported in Japan, and patients should be encouraged to participate in early mobilization. Perioperative rehabilitation which includes early mobilization reduces postoperative complications and improves fast-track recovery after esophagectomy. These interventions play important role in postoperative care.
食管癌的食管切除术是一项大型手术，术后肺部并发症发生率最高。对接受食管切除术的患者进行呼吸物理治疗，已被用于改善氧合和气道分泌物清除。最近，日本报道了胃肠外科手术后加速康复的实用性和有效性，应鼓励患者参与早期活动。包括早期活动在内的围手术期康复可减少食管切除术后的并发症，并改善快速康复。这些干预措施在术后护理中发挥着重要作用。
