Application of enhanced recovery after surgery in gastrectomy for gastric cancer
10.3760/cma.j.issn.1673-9752.2015.01.008
- VernacularTitle:加速康复外科在胃癌手术中的应用
- Author:
Zhen YU
- Publication Type:Journal Article
- Keywords:
Gastric neoplasms;
Enhanced recovery after surgery;
Gastrectomy;
Perioperative period
- From:
Chinese Journal of Digestive Surgery
2015;14(1):33-37
- CountryChina
- Language:Chinese
-
Abstract:
Enhanced recovery after surgery (ERAS) combines various techniques used in the care of patients undergoing elective surgery,with an aim to attenuate the surgical stress response and energy loss,improve the organ function,reduce postoperative complications and the time required for full recovery.ERAS was first applied in the colorectal surgery,and gradually expanded to other surgical areas.As for ERAS in the gastric surgery,the safety and efficacy have been proved preliminarily by evidence-based medicine.However,there is still controversy about the individual items of the ERAS programs due to limited studies.Recent publications of the 2014 consensus guidelines for enhanced recovery after gastrectomy Enhanced Recovery After Surgery (ERAS@) Society recommendations that was composed by the ERAS Society indicated the developing direction of ERAS,and also updated perioperative practice to each medical unit implementing ERAS.Meanwhile,general principles (guideline or consensus) and patients' conditions should be combined closely into clinical practice.Since gastric cancer surgery is complex and patients' conditions are various,further research may focus on individualized ERAS.In the further study,more high-quality randomized clinical trials with single-component administration in fast recovery settings need to reach more definite conclusions and recommendations.Furthermore,attentions should be paid to enhance patients' compliance with the ERAS items.
