[Enhanced recovery after surgery in colorectal surgery].

P Y Hardy, A Meunier,C Coimbra,E Decker,J Joris

Revue medicale de Liege(2020)

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摘要
Enhanced recovery after surgery (ERAS) in colorectal surgery consists of multidisciplinary, multimodal, and patient-centred care. The implementation of pre-, intra-, and post-operative measures mitigates the surgical stress, the inflammatory reaction, and their consequences. The elements of this protocol are evidence-based medicine. This allows improved and accelerated recovery. Consequently, ERAS reduces the incidence of medical complications by 50 %, including fewer infectious complications, and a possible positive impact on survival after oncologic surgery. Hospital length of stay is shortened. There is no contraindication to ERAS, which must be used for all patients undergoing colorectal surgery. Adaptation of the protocol will nevertheless be necessary in the event of urgent surgery.
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关键词
Length of hospital stay, Postoperative complications , Surgery colorectal ,Enhanced recovery protocol
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