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山东大学学报 (医学版) ›› 2019, Vol. 57 ›› Issue (9): 18-23.doi: 10.6040/j.issn.1671-7554.0.2019.669

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加速康复外科在胃肠外科应用中循证医学的重要作用

靖昌庆,王金申   

  1. 山东大学附属省立医院胃肠外科, 山东 济南 250021
  • 发布日期:2022-09-27
  • 通讯作者: 靖昌庆. E-mail:weichangxuezu@163.com

Important role of evidence-based medicine in the application of enhanceel recovery aftev surgery in gastrointestinal surgery

JING Changqing, WANG Jinshen   

  1. Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, Shandong, China
  • Published:2022-09-27

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摘要： 加速康复外科(ERAS)在相关学术组织的推动下,目前在胃肠外科已广泛开展,确实为临床治疗带来了巨大益处,也节约了医疗卫生资源,但加速康复外科的目标是使患者更好恢复而非更快,实现这一目标的根基是循证医学证据,因此在胃肠外科推广应用ERAS的过程中需要重视临床研究工作,从而提供高质量的循证医学证据。

关键词: 加速康复外科, 胃肠外科, 循证医学

Abstract: Enhanced recovery after surgery(ERAS)has been widely applied in perioperative care of gastrointestinal surgery under the promotion of relevant academic organizations, which has brought great benefits to clinical treatment and saved medical and health resources. The goal of ERAS is to help patients recover better rather than faster; therefore, 山 东 大 学 学 报 (医 学 版)57卷9期 -靖昌庆,等.加速康复外科在胃肠外科应用中循证医学的重要作用1 \=-the foundation for achieving this goal is evidence-based medical evidence. As a result, due attention should be paid to clinical research so as to provide high-quality evidence in the promotion of ERAS in gastrointestinal surgery.

Key words: Enhanced recovery after Surgery, Gastrointestinal surgery, Evidence-based medicine

中图分类号: 

  • R656.6
[1] 江志伟, 李宁. 结直肠手术应用加速康复外科中国专家共识(2015版)[J]. 中国实用外科杂志, 2015, 35(8): 841-843.
[2] Wilmore DW. Therapy which enhances surgical recovery: the potential for multimodality, fast-track surgery in the 21st century [J]. Nihon Geka Gakkai Zasshi, 2000, 101(3): 281-283.
[3] Kehlet H. Multimodal approach to control postoperative pathophysiology and rehabilitation [J]. Bri J Aanaesth, 1997, 78(5): 606-617.
[4] Ljungqvist O. ERAS - enhanced recovery after surgery: moving evidence-based perioperative care to practice [J]. JPEN J Parenter Enteral Nutr, 2014, 38(5): 559-566.
[5] Malczak P, Pisarska M, Piotr M, et al. Enhanced recovery after bariatric surgery: systematic review and meta-analysis [J]. Obes Surg, 2017, 27(1): 226-235.
[6] Jones EL, Wainwright TW, Foster JD, et al. A systematic review of patient reported outcomes and patient experience in enhanced recovery after orthopaedic surgery [J]. Ann R Coll Surg Engl, 2014, 96(2): 89-94.
[7] Pisarska M, Malczak P, Major P, et al. Enhanced recovery after surgery protocol in oesophageal cancer surgery: systematic review and meta-analysis [J]. PLoS One, 2017,12(3): e0174382. doi: 10.1371/journal.pone.0174382.
[8] 黎介寿. 对Fast-track surgery(快通道外科)内涵的认识[J]. 中华医学杂志, 2007, 8(7): 515-517.
[9] 中国研究型医院学会机器人与腹腔镜外科专业委员会, Robotic and Laparoscopic Surgery Committee of Chin.胃癌胃切除手术加速康复外科专家共识(2016版)[J]. 中华消化外科杂志, 2017, 16(1):14-17.
[10] Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after surgery: a review [J]. JAMA Surg, 2017, 152(3): 292-298.
[11] Ljungqvist O. Jonathan E. Rhoads lecture 2011: Insulin resistance and enhanced recovery after surgery [J]. JPEN J Parenter Enteral Nutr, 2012, 36(4): 389-398.
[12] Lassen K, Soop M, Nygren J, et al. Consensus review of optimal perioperative care in colorectal surgery: Enhanced Recovery After Surgery(ERAS)Group recommendations [J]. Arch Surg, 2009,144(10): 961-969.
[13] Gustafsson UO, Scott MJ, Hubner M, et al. Guidelines for perioperative care in elective colorectal surgery: enhanced recovery after surgery(ERAS®)Society Recommendations: 2018 [J]. World J Surg, 2019, 43(3): 659-695.
[14] Fearon KC, Ljungqvist O, Von Meyenfeldt M, et al. Enhanced recovery after surgery: a consensus review of clinical care for patients undergoing colonic resection [J]. Clin Nutr, 2005, 24(3): 466-477.
[15] Melnyk M, Casey RG, Black P, et al. Enhanced recovery after surgery(ERAS)protocols: Time to change practice? [J]. Can Urol Assoc J, 2011, 5(5): 342-348.
[16] Pedziwiatr M, Mavrikis J, Witowski J. Current status of enhanced recovery after surgery(ERAS)protocol in gastrointestinal surgery [J]. Med Oncol, 2018, 35(6): 95. doi: 10.1007/s12032-018-1153-0.
[17] Vlug MS, Wind J, Hollmann MW, et al. Laparoscopy in combination with fast track multimodal management is the best perioperative strategy in patients undergoing colonic surgery: a randomized clinical trial(LAFA-study)[J]. Ann Surg, 2011, 254(6): 868-875.
[18] Greco M, Capretti G, Beretta L, et al. Enhanced recovery program in colorectal surgery: a meta-analysis of randomized controlled trials [J]. World J Surg, 2014, 38(6): 1531-1541.
[19] Zhang HY, Zhao CL, Xie J, et al. To drain or not to drain in colorectal anastomosis: a meta-analysis [J]. Int J Colorectal Dis, 2016, 31(5): 951-960.
[20] Currie AC, Malietzis G. Network meta-analysis of protocol-driven care and laparoscopic surgery for colorectal cancer [J]. Br J Surg, 2016, 103(13): 1783-1794.
[21] Yamada T, Hayashi T, Cho H, et al. Usefulness of enhanced recovery after surgery protocol as compared with conventional perioperative care in gastric surgery [J]. Gastric Cancer, 2012, 15(1): 34-41.
[22] Pedziwiatr M, Matlok M, Kisialeuski M, et al. Short hospital stays after laparoscopic gastric surgery under an Enhanced Recovery After Surgery(ERAS)pathway: experience at a single center [J]. Eur Surg, 2014, 46: 128-132.
[23] Pisarska M, Pedziwiatr M, Major P, et al. Laparoscopic gastrectomy with enhanced recovery after surgery protocol: single-senter experience [J]. Med Sci Monit, 2017, 23: 1421-1427.
[24] Mortensen K, Nilsson M, Slim K, et al. Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery(ERAS®)Society recommendations [J]. Br J Surg, 2014, 101(10): 1209-1229.
[25] Yu Z, Zhuang CL, Ye XZ, et al. Fast-track surgery in gastrectomy for gastric cancer: a systematic review and meta-analysis [J]. Langenbecks Arch Surg, 2014, 399(1): 85-92.
[26] Chen S, Zou Z, Chen F, et al. A meta-analysis of fast track surgery for patients with gastric cancer undergoing gastrectomy [J]. Ann R Coll Surg Engl, 2015, 97(1): 3-10.
[27] Liu Q, Ding L, Jiang H, et al. Efficacy of fast track surgery in laparoscopic radical gastrectomy for gastric cancer: a meta-analysis of randomized controlled trials [J]. Int J Surg, 2018, 50: 28-34. doi: 10.1016/j.ijsu.2017.12.026.
[28] Messager M, Sabbagh C, Denost Q, et al. Is there still a need for prophylactic intra-abdominal drainage in elective major gastro-intestinal surgery? [J]. J Visc Surg, 2015, 152(5): 305-313.
[29] ERAS Compliance Group.The impact of enhanced recovery protocol compliance on elective colorectal cancer resection: results from an international registry [J]. Ann Surg, 2015, 261(6): 1153-1159.
[30] Pisarska M, Pedziwiatr M, Malczak P, et al. Do we really need the full compliance with ERAS protocol in laparoscopic colorectal surgery? A prospective cohort study [J]. Int J Surg, 2016, 36(Pt A): 377-382.
[31] Pedziwiatr M, Pisarska M, Kisielewski M, et al. Is ERAS in laparoscopic surgery for colorectal cancer changing risk factors for delayed recovery? [J]. Med Oncol, 2016, 33(3): 25.
[32] Gillissen F, Hoff C, Maessen JM, et al. Structured synchronous implementation of an enhanced recovery program in elective colonic surgery in 33 hospitals in The Netherlands [J]. World J Surg, 2013, 37(5): 1082-1093.
[33] Gonzalez-Ayora S, Pastor C, Guadalajara H, et al. Enhanced recovery care after colorectal surgery in elderly patients. Compliance and outcomes of a multicenter study from the Spanish working group on ERAS [J]. Int J Colorectal Dis, 2016, 31(9): 1625-1631.
[34] Renehan AG. Impact of mechanical bowel preparation on survival after colonic cancer resection(Br J Surg 2014: 101: 1594-1600)[J]. Br J Surg, 2014, 101(12): 1600-1601.
[35] Scarborough JE, Mantyh CR, Sun Z, et al Combined Mechanical and oral antibiotic bowel preparation reduces incisional surgical site infection and anastomotic leak rates after elective colorectal resection: an analysis of colectomy-targeted ACS NSQIP [J]. Ann Surg, 2015, 262(2): 331-337.
[36] Bagnall NM, Malietzis G, Kennedy RH, et al. A systematic review of enhanced recovery care after colorectal surgery in elderly patients [J]. Colorectal Dis, 2014, 16(12): 947-956.
[37] Slieker J, Frauche P. Enhanced recovery ERAS for elderly: a safe and beneficial pathway in colorectal surgery [J]. Int J Colorectal Dis, 2017, 32(2): 215-221.
[38] Verheijen PM, Vd Ven AW, Davids PH, et al. Feasibility of enhanced recovery programme in various patient groups [J]. Int J Colorectal Dis, 2012, 27(4): 507-511.
[39] Paduraru M, Ponchietti L, Casas IM, et al. Enhanced recovery after emergency surgery: a aystematic review [J]. Bull Emerg Trauma, 2017, 5(2): 70-78.
[40] Slim K, Regimbeau JM. Increased survival might be an unexpected additional advantage of enhanced recovery after surgery programs [J]. J Visc Surg, 2018, 155(3): 169-171.
[41] Asklid D, Segelman J, Gedda C, et al. The impact of perioperative fluid therapy on short-term outcomes and 5-year survival among patients undergoing colorectal cancer surgery-A prospective cohort study within an ERAS protocol [J]. Eur J Surg Oncol, 2017, 43(8): 1433-1439.
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