Nishida Masato, Seto Yasuyuki
Department of Gastrointestinal Surgery, the University of Tokyo, Tokyo, Japan.
Kyobu Geka. 2017 Jul;70(8):716-719.
Enhanced recover after surgery(ERAS) program is multimodal strategies to reduce the incidence of postoperative morbidity and mortality, and encourage early functional recovery from surgical insult. It consists of physical therapy to facilitate postoperative early mobilization, nutritional support, introduction of minimal invasive surgery, restrictive fluid therapy and early resumption of oral intake. Esophagectomy for esophageal cancer is a highly invasive procedure with high incidence of postoperative morbidity and mortality. Although the evidence of ERAS program for esophagectomy has not yet been established, some approaches has been reported with feasible results. This article describes the clinical practices of ERAS program for esophagectomy.
术后加速康复（ERAS）计划是一种多模式策略，旨在降低术后发病率和死亡率，并促进从手术创伤中早日功能恢复。它包括促进术后早期活动的物理治疗、营养支持、引入微创手术、限制性液体治疗以及早期恢复经口进食。食管癌切除术是一种侵袭性很强的手术，术后发病率和死亡率很高。尽管ERAS计划用于食管癌切除术的证据尚未确立，但已有一些方法报告取得了可行的结果。本文描述了ERAS计划用于食管癌切除术的临床实践。
