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手术室之外:结直肠手术强化康复策略的叙述性综述

Beyond the Operating Room: A Narrative Review of Enhanced Recovery Strategies in Colorectal Surgery.

作者信息

Albalawi Hamed Ibrahim Hamed, Alyoubi Rawshan Khalid A, Alsuhaymi Nawaf Mohsen Mubarak, Aldossary Farha Abdullah K, Mohammed G Alkathiry Abdulrahman, Albishi Fayez Mubarak, Aljeddawi Jumana, Najm Fedaa Ahmed Omar, Najem Neda Ahmed, Almarhoon Mohamed Mirza Ali

机构信息

General Surgery, King Fahad Specialist Hospital, Tabuk, SAU.

General Practice, Al-Rayan Colleges, Al-Madinah Al-Munawwara, SAU.

出版信息

Cureus. 2024 Dec 21;16(12):e76123. doi: 10.7759/cureus.76123. eCollection 2024 Dec.

Abstract

Enhanced Recovery After Surgery (ERAS) protocols have significantly transformed the management of patients undergoing colorectal surgery. This comprehensive review explores the key components and benefits of ERAS in colorectal procedures, focusing on preoperative, perioperative, and postoperative strategies aimed at improving patient outcomes. These strategies include preoperative patient education, multimodal analgesia, minimally invasive surgical techniques, and early mobilization. ERAS protocols reduce postoperative complications, shorten hospital stays, and enhance overall recovery, leading to better patient satisfaction and decreased healthcare costs. However, challenges such as patient adherence and managing high-risk patients remain critical areas for further research. Additionally, future research should focus on refining ERAS protocols, integrating novel technologies such as minimally invasive techniques, and evaluating long-term outcomes to further enhance the recovery process.

摘要

术后加速康复(ERAS)方案显著改变了接受结直肠手术患者的管理方式。这篇综述探讨了ERAS在结直肠手术中的关键组成部分和益处,重点关注旨在改善患者预后的术前、围手术期和术后策略。这些策略包括术前患者教育、多模式镇痛、微创手术技术和早期活动。ERAS方案可减少术后并发症、缩短住院时间并促进整体康复,从而提高患者满意度并降低医疗成本。然而,患者依从性和高危患者管理等挑战仍是需要进一步研究的关键领域。此外,未来的研究应专注于完善ERAS方案、整合如微创手术技术等新技术,以及评估长期预后,以进一步优化康复过程。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23bd/11745840/03d734e9b656/cureus-0016-00000076123-i01.jpg

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