Enhanced recovery programme in colorectal surgery:Does one size fit all?

作     者：Alison Lyon Christopher J Payne Graham J MacKay 

作者机构：Specialty Registrar in General SurgeryWest of Scotland RotationGlasgow G4 0SFUnited Kingdom Lister Department of SurgeryGlasgow Royal InfirmaryGlasgow G4 0SFUnited Kingdom 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2012年第18卷第40期

页      面：5661-5663页

核心收录：

学科分类：1002[医学-临床医学] 10[医学] 

主　　题：围手术期 结直肠癌 恢复方案 尺寸 多式联运 应激反应 组成部分 发生变化 

摘      要：Enhanced recovery after surgery(ERAS) employs a multimodal perioperative care pathway with the aim of attenuating the stress response to surgery and accelerating recovery.It has been difficult to determine the relative importance of some of the individual components of these pathways such as epidural analgesia and laparoscopic colorectal surgery.Some argue that only a rigid adherence to the published ERAS protocol can achieve the proposed benefits of fast-track surgery.In this article,we explore some of the areas where the evidence base may be changing and ask whether a more flexible and individualised approach should be considered.