The enhanced recovery after surgery (ERAS) protocol to promote recovery following esophageal cancer resection.
Enhanced recovery
Esophageal surgery
Esophagectomy
Journal
Surgery today
ISSN: 1436-2813
Titre abrégé: Surg Today
Pays: Japan
ID NLM: 9204360
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
20
11
2019
accepted:
29
11
2019
pubmed:
13
2
2020
medline:
20
8
2020
entrez:
13
2
2020
Statut:
ppublish
Résumé
Esophageal cancer surgery, comprising esophagectomy with radical lymphadenectomy, is a complex procedure associated with considerable morbidity and mortality. The enhanced recovery after surgery (ERAS) protocol which aims to improve perioperative care, minimize complications, and accelerate recovery is showing promise for achieving better perioperative outcomes. ERAS is a multimodal approach that has been reported to shorten the length of hospital stay, reduce surgical stress response, decrease morbidity, and expedite recovery. While ERAS components straddle preoperative, intraoperative, and postoperative periods, they need to be seen in continuum and not as isolated elements. In this review, we elaborate on the components of an ERAS protocol after esophagectomy including preoperative nutrition, prehabilitation, counselling, smoking and alcohol cessation, cardiopulmonary evaluation, surgical technique, anaesthetic management, intra- and postoperative fluid management and pain relief, mobilization and physiotherapy, enteral and oral feeding, removal of drains, and several other components. We also share our own institutional protocol for ERAS following esophageal resections.
Identifiants
pubmed: 32048046
doi: 10.1007/s00595-020-01956-1
pii: 10.1007/s00595-020-01956-1
pmc: PMC7098920
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
323-334Commentaires et corrections
Type : ErratumIn
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