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加速康复外科(Enhanced Recovery After Surgery,ERAS)理念于2007年在国内开始应用于胃癌患者,并被证实是安全及有效的[1],目前仍然处于发展阶段。它强调通过围手术期的优化处理来减少并发症等,从而缩短住院时间;它需要医疗、麻醉及护理等团队合作,在国外还需要理疗师的配合[2-4]。ERAS理念强调微创,微创可以减少术后应激,ERAS联合机器人微创手术应用于胃癌患者,能改善术后结局[5]。有研究报道[6]患者术后住院时间为(5.3±2.6)d,而国内传统
The concept of Enhanced Recovery After Surgery (ERAS) was initially applied to patients with gastric cancer in China in 2007 and has been proved to be safe and effective [1] and is still in the developmental stage. It emphasizes the perioperative optimization to reduce complications, thereby shortening the length of stay; it requires teamwork in medical, anesthesia and nursing, and requires the cooperation of physiotherapists abroad [2-4]. ERAS concept emphasizes minimally invasive, minimally invasive surgery can reduce postoperative stress, ERAS joint robot minimally invasive surgery in patients with gastric cancer, can improve postoperative outcomes [5]. Some studies have reported [6] patients hospitalized for (5.3 ± 2.6) d, while the domestic tradition