快速康复外科在根治性全膀胱切除术中的应用

快速康复外科是由丹麦外科医师Kehlet提出,旨在通过减轻围术期的应激反应而促进患者术后康复,减少手术并发症.距快速康复外科理念提出已有近20余年,在这期间,快速康复外科理念在国外得到了极大地发展,并在普外科,尤其是结直肠外科、心胸外科、妇科等进行应用,取得了极大地成功,后被黎介寿院士引入我国,并迅速被外科医师所接受,尤其是在结直肠切除手术中的成功应用已成为典范,但在根治性全膀胱切除术中应用相对较少,本文就快速康复外科理念在根治性全膀胱切除术中的应用作一综述,以期能促进这一理念在该术式中的推广应用.

Implication of fast-track surgery in radical cystectomy

Fast-track surgery (FTS) protocols was introduced to reduce surgical stress and facilitate postoperative recovery.It has been more than 20 years since it had been proposed and it was successfully used in many special subjects such as orthopedic,upper gastrointestinal,gynecological,thoracic,vascular,endocrine et al,but the implication in radical cystectomy was insufficient.The propose of this article was to summarize the implication of FTS in radical cystectomy and to promote the development of the protocol in radical cystectomy.