Department of Anesthesiology, and Critical Care, Hospital Universitario Infanta Leonor, Gran Vía del Este 80, 2831, Madrid, Spain.
Spanish Perioperative Audit and Research Network (ReDGERM), Zaragoza, Spain.
Curr Oncol Rep. 2022 Sep;24(9):1177-1187. doi: 10.1007/s11912-022-01282-4. Epub 2022 Apr 11.
The objective of this review is to address the rationale behind the application of the Enhanced Recovery After Surgery (ERAS) protocols that could improve oncologic outcomes in adult patients undergoing major surgery.
The implementation of ERAS protocols has been associated with fewer postoperative complications as well as decreased return to intended oncologic treatment (RIOT). However, few studies have analyzed the influence of the application of ERAS protocols and long-term oncologic outcomes, although some of its individual elements have been associated with improvements in oncologic outcomes, including overall survival and disease-free survival. Targeted long-term follow-up studies in specific oncologic procedures are required to determine whether ERAS application results in improved oncologic outcomes.
本篇综述旨在探讨强化术后康复（ERAS）方案在成人重大手术中改善肿瘤学结局的应用原理。
ERAS 方案的实施与术后并发症的减少以及肿瘤治疗的恢复（RIOT）的减少有关。然而，很少有研究分析 ERAS 方案的应用及其对长期肿瘤学结果的影响，尽管其一些单独的元素与肿瘤学结果的改善有关，包括总生存和无病生存。需要针对特定的肿瘤学手术进行针对性的长期随访研究，以确定 ERAS 的应用是否会改善肿瘤学结果。
