基于加速康复外科（ERAS）方案对腹腔镜结直肠癌切除术患者进行饮食调整
Diet Modification Based on the Enhanced Recovery After Surgery Program (ERAS) in Patients Undergoing Laparoscopic Colorectal Resection.
作者信息
Kim Ji Yeon, Wie Gyung Ah, Cho Yeong Ah, Kim So Young, Sohn Dae Kyung, Kim Suk Kyoung, Jun Mee Duck
机构信息
Department of Clinical Nutrition, Research Institute & Hospital, National Cancer Center, Goyang 10408, Korea.
Center for Colorectal Cancer, Research Institute & Hospital, National Cancer Center, Goyang 10408, Korea.
出版信息
Clin Nutr Res. 2018 Oct;7(4):297-302. doi: 10.7762/cnr.2018.7.4.297. Epub 2018 Oct 29.
The enhanced recovery after surgery (ERAS) program aims to maximize the recovery of patients by minimizing pre- and postoperative complications and stress. The program recommends providing preoperative carbohydrate (CHO) supplements and starting an early postoperative diet to reduce the fasting duration. Based on these recommendations, we implemented preoperative CHO supplementation and initiated an early postoperative diet in patients undergoing laparoscopic colorectal resection. We observed 3 patients as follows: a non-ERAS case, preoperative ERAS case, and pre- and postoperative ERAS case. The preoperative well-being and compliance of patients improved after implementation of the ERAS program. Moreover, the length of hospital stay was reduced. Therefore, we consider that the ERAS program may be helpful for the recovery of patients undergoing laparoscopic colorectal resection.
术后加速康复（ERAS）计划旨在通过最大限度地减少术前和术后并发症及应激反应，使患者的恢复达到最佳状态。该计划建议提供术前碳水化合物（CHO）补充剂，并尽早开始术后饮食，以缩短禁食时间。基于这些建议，我们对接受腹腔镜结直肠切除术的患者实施了术前CHO补充，并启动了早期术后饮食。我们观察了3例患者，分别为：非ERAS病例、术前ERAS病例以及术前和术后均采用ERAS的病例。实施ERAS计划后，患者术前的健康状况和依从性得到改善。此外，住院时间缩短。因此，我们认为ERAS计划可能有助于接受腹腔镜结直肠切除术患者的康复。
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