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加速康复外科在腹腔镜胃癌根治术中的应用进展 预览

Application Progress of Enhanced Recovery in Laparoscopic-Assisted Radical Gastrectomy
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摘要 加速康复外科(ERAS)方案贯穿整个围术期,受医疗条件及术种差别等多种因素影响,各级医院开展ERAS的程度有很大差别。腹腔镜胃癌根治术(LARG)对患者机体生理解剖结构影响较大,术后并发症较多,ERAS在其围术期的应用对医疗水平也提出了较高的要求。目前ERAS在LARG中的应用研究仍相对较少,ERAS的成功应用还需要更新医师的传统观念,不同的认知和应用条件均会对结果产生一定的影响。ERAS在LARG等腹部复杂手术中的应用进程仍较缓慢,在各级医院大范围普及仍需要较长时间的研究及探索。 Enhanced recovery after surgery(ERAS)programs go through the whole perioperative period,which are influenced by various factors such as medical conditions and surgical types,and the process of ERAS varies from different levels hospitals.In addition,as the laparoscopic-assisted radical gastrectomy(LARG)has a great impact on the physiological and anatomical structure of patients,it has various postoperative complications,therefore has higher requirements for the perioperative application level.At present,the full application of ERAS in LARG still develops in a small scale,and updating of the traditional concept of physicians is also necessary.Different cognitions and conditions will have a certain influence on the results.So the progress of ERAS application in complex abdominal surgery such as LARG is relatively slow.The popularization of ERAS in all hospitals may need a long process of research and exploration.
作者 杨鹏远 黄许森 YANG Pengyuan;HUANG Xusen(Graduate School,Youjiang Medical University for Nationalities,Baise 533000,China;Department of Gastroenterological Surgery,Affiliated Hospital of Youjiang Medical University for Nationalities,Baise 533000,China)
出处 《医学综述》 2019年第2期341-345,共5页 Medical Recapitulate
关键词 胃癌根治术 腹腔镜技术 加速康复外科 围术期 Radical gastrectomy Laparoscopic technology Enhanced recovery after surgery Perioperative period
作者简介 通信作者:黄许森E-mail:hxsfy@163.com
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