Zhu Dexiang, Xu Jianmin
Department of General Surgery, Zhongshan Hospital, Fudan University; Institute of General Surgery, Fudan University; Colorectal Cancer Research Center, Fudan University, Shanghai 200032, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2016 Mar;19(3):256-9.
ERAS combines modern anesthesia, pain control, and nutritional support technologies, and contains a series of evidence-based perioperative optimization measures, including preoperative preparation, intraoperative anesthesia and postoperative care, to reduce surgical stress and enhance recovery. Several clinical studies and meta-analysis have demonstrated that ERAS can accelerate postoperative rehabilitation in colorectal patients. In addition, minimally invasive colorectal surgery has the advantages of less trauma, less bleeding, and faster postoperative recovery, compared with open surgery. It has become the standard operation for colon resection. Recently 3D laparoscopic and robotic colorectal surgery, which overcomes limitations of conventional laparoscopic surgery, is increasingly used. Therefore, whether ERAS combined with minimally invasive colorectal surgery causes a cumulative advantage receives much concern. A number of studies and meta-analysis have demonstrated that ERAS combined with laparoscopic colorectal cancer surgery can shorten the length of hospital stay and reduce the incidence of complications, as the best perioperative plan for elective colorectal surgery.
加速康复外科（ERAS）结合了现代麻醉、疼痛控制和营养支持技术，并包含一系列基于证据的围手术期优化措施，包括术前准备、术中麻醉和术后护理，以减轻手术应激并促进恢复。多项临床研究和荟萃分析表明，ERAS可加速结直肠手术患者的术后康复。此外，与开放手术相比，微创结直肠手术具有创伤小、出血少和术后恢复快的优点。它已成为结肠切除术的标准术式。近来，克服了传统腹腔镜手术局限性的3D腹腔镜和机器人结直肠手术的应用越来越多。因此，ERAS联合微创结直肠手术是否会产生累积优势备受关注。一些研究和荟萃分析表明，ERAS联合腹腔镜结直肠癌手术可缩短住院时间并降低并发症发生率，是择期结直肠手术的最佳围手术期方案。
