Hardy P Y, Meunier A, Coimbra C, Decker E, Joris J
Service d'Anesthésie-réanimation, CHU Liège, Belgique.
Service de Chirurgie digestive, CHU Liège, Belgique.
Rev Med Liege. 2020 May;75(5-6):286-291.
Enhanced recovery after surgery (ERAS) in colorectal surgery consists of multidisciplinary, multimodal, and patient-centred care. The implementation of pre-, intra-, and post-operative measures mitigates the surgical stress, the inflammatory reaction, and their consequences. The elements of this protocol are evidence-based medicine. This allows improved and accelerated recovery. Consequently, ERAS reduces the incidence of medical complications by 50 %, including fewer infectious complications, and a possible positive impact on survival after oncologic surgery. Hospital length of stay is shortened. There is no contraindication to ERAS, which must be used for all patients undergoing colorectal surgery. Adaptation of the protocol will nevertheless be necessary in the event of urgent surgery.
结直肠手术中的术后加速康复(ERAS)包括多学科、多模式且以患者为中心的护理。术前、术中和术后措施的实施可减轻手术应激、炎症反应及其后果。该方案的各项要素均基于循证医学。这有助于实现更好、更快的康复。因此,ERAS可将医疗并发症的发生率降低50%,包括减少感染性并发症,并可能对肿瘤手术后的生存产生积极影响。住院时间缩短。ERAS没有禁忌证,所有接受结直肠手术的患者均应采用。不过,在进行急诊手术时,仍有必要对该方案进行调整。