Enhanced recovery after surgery (ERAS) in gynecology oncology

被引：62

作者：

Bogani, Giorgio ^{[1
]}

Sarpietro, Giuseppe ^{[1
]}

Ferrandina, Gabriella ^{[2
,3
]}

Gallotta, Valerio ^{[2
]}

Di Donato, Violante ^{[4
]}

Ditto, Antonino ^{[1
]}

Pinelli, Ciro ^{[1
,5
]}

Casarin, Jvan ^{[5
]}

Ghezzi, Fabio ^{[5
]}

Scambia, Giovanni ^{[2
,3
]}

Raspagliesi, Francesco ^{[1
]}

机构：

[1] Fdn IRCCS Ist Nazl Tumori Milano, Via Venezian 1, I-20133 Milan, Italy

[2] Fdn Policlin Univ A Gemelli, IRCCS, Dipartimento Salute Donna & Bambino Salute Pubbl, UOC Ginecol Oncol, Rome, Italy

[3] Univ Cattolica, Rome, Italy

[4] Sapienza Univ Rome, Dept Maternal & Child Hlth & Urol Sci, Rome, Italy

[5] Univ Insubria, Osped Circolo Fdn Macchi, Varese, Italy

来源：

EJSO | 2021年 / 47卷 / 05期

关键词：

Enhanced recovery after surgery; Gynecologic oncology; Surgery; ERAS; SURGICAL SITE INFECTION; RANDOMIZED-CLINICAL-TRIAL; SOCIETY RECOMMENDATIONS; PERIOPERATIVE CARE; VENOUS THROMBOEMBOLISM; GUIDELINES; CANCER; PROPHYLAXIS; REDUCTION; IMPACT;

D O I：

10.1016/j.ejso.2020.10.030

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

The Enhanced Recovery After Surgery (ERAS) is a pathway designed to achieve early recovery for patients undergoing major surgery. The ERAS pathway included three important components preoperative, intraoperative, postoperative program. Pre-habilitation and re-habilitation are of paramount importance to improve patients' care. The ERAS is based on evidence-based medicine. Accumulating evidence highlighted that adopting ERAS resulted in lower complication rate, and shorter length of hospital stay in comparison to standard protocols of care. The adoption of the ERAS resulted in a significant improvement of patients' outcomes and a reduction of the overall cost of care. In the present review, we summarized current evidence on ERAS, focusing on the steps useful for its adoption into clinical practice. (C) 2020 Elsevier Ltd, BASO similar to The Association for Cancer Surgery, and the European Society of Surgical Oncology. All rights reserved.

引用

页码：952 / 959

页数：8

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