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Chinese Journal of Thoracic Surgery(Electronic Edition) ›› 2017, Vol. 04 ›› Issue (03): 140-148. doi: 10.3877/cma.j.issn.2095-8773.2017.03.03

Special Issue:

• Review Editorial • Previous Articles     Next Articles

Progress and prospect of enhanced recovery after surgery for esophageal cancer

Yin Li1,(), Haibo Sun1   

  1. 1. Department of Thoracic Surgery, Henan Cancer Hospital, The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
  • Received:2017-04-10 Online:2017-08-28 Published:2017-08-28
  • Contact: Yin Li
  • About author:
    Corresponding author: Li Yin, Email:

Abstract:

Enhanced recovery after surgery (ERAS) is a patient-centered, surgeon-led combined with anesthesia, nursing, nutrition, psychological and other multi-disciplinary team, aimed to reduce the perioperative wound stress response, to maintain the physiological function of patients, and to achieve the purpose of promoting patient rehabilitation. ERAS theory was first used in colorectal surgery, then widely used in other surgical fields. However, ERAS program was not used commonly in esophagectomy due to its surgical complexity and high postoperative complications. Basically, the main reason is that postoperative complications like gastric tube-associated complications limit the application of ERAS in the field of esophagectomy. In recent years, with the progression of minimally invasive esophagectomy, attention to tissue and organ protection concept, improvement of gastric tube technique, breakthrough of anastomotic technique and new theories, ERAS has made great progresses in the field of esophagectomy. "Received surgery yesterday, eat normally today, and discharged in5-7 days" , ERAS program based on "no tube no abstaining" has been applied in some medical centers and is becoming more and more mature. In the future we will rely on the improvement, systemic training and promotion of this system. We expect more medical centers will apply ERAS program and multi-center clinical trials will be initiated.

Key words: Esophageal cancer, Enhanced recovery after surgery, Clinical pathway

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