Chen C C
Department of Colorectal Surgery, Gastrointestinal Surgery Center, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2022 Jul 25;25(7):632-635. doi: 10.3760/cma.j.cn441530-20220323-00113.
Enhanced recovery after surgery (ERAS) and minimally invasive surgery are two important development directions of modern surgery in the 21st century. They provide new clinical treatment methods and theoretical basis for the rapid recovery of surgical patients and more rational utilization of medical resources. They are two hot topics in clinical research and academic exchange of surgery-related subjects, and promote the rapid development and clinical application of surgery. ERAS covers a range of preoperative, intraoperative, and postoperative optimization measures, of which minimally invasive surgery is an important part of intraoperative optimization. The quality of surgery, especially minimally invasive surgery, plays a key role in postoperative recovery, which is the most important one of all ERAS measures. With good surgical quality and no postoperative complications, patients will recover quickly. Therefore, minimally invasive surgery plays a central role in the ERAS concept. The combination of ERAS with minimally invasive surgery is not only safe and feasible, but is also better than these two clinical therapies alone for postoperative recovery, and improves short-term and long-term outcome and accelerates the recovery of patients. For surgical diseases treated with minimally invasive surgery as far as possible, using the ERAS management for patients will result in reduced traumatic stress, better surgical tolerance, less postoperative pain, smaller incision, earlier ambulation, better organ function, and less morbidity of complications. In short, ERAS and minimally invasive surgery complement and promote each other. As two outstanding achievements of modern medicine, they are clinical treatments that provide sufficient theoretical basis for rapid recovery of patients and open a new chapter for the development of modern surgery.
术后加速康复（ERAS）和微创手术是21世纪现代外科两个重要的发展方向。它们为外科手术患者的快速康复和医疗资源的更合理利用提供了新的临床治疗方法和理论依据。它们是外科相关学科临床研究和学术交流中的两个热点话题，并推动了外科手术的快速发展和临床应用。ERAS涵盖了一系列术前、术中和术后的优化措施，其中微创手术是术中优化的重要组成部分。手术质量，尤其是微创手术质量，在术后恢复中起着关键作用，这是所有ERAS措施中最重要的一项。具备良好的手术质量且无术后并发症，患者将快速康复。因此，微创手术在ERAS理念中发挥着核心作用。ERAS与微创手术相结合不仅安全可行，而且在术后恢复方面比这两种临床治疗单独应用更好，可改善短期和长期预后并加速患者康复。对于尽可能采用微创手术治疗的外科疾病，对患者采用ERAS管理将减少创伤应激、提高手术耐受性、减轻术后疼痛、缩小切口、更早下床活动、改善器官功能并降低并发症发生率。简而言之，ERAS和微创手术相辅相成、相互促进。作为现代医学的两项杰出成果，它们是为患者快速康复提供充分理论依据的临床治疗方法，为现代外科的发展开启了新篇章。
