中国实用外科杂志

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围手术期外科之家理念在结直肠外科的应用

姜    军   

  1. 中国人民解放军东部战区总医院普通外科,江苏南京 210002
  • 出版日期:2021-02-01 发布日期:2021-02-05

  • Online:2021-02-01 Published:2021-02-05

摘要: 结直肠外科疾病由于其生物行为学复杂性,病人高龄倾向、常伴发营养不良、肠梗阻和心理障碍,以及手术后肠道功能障碍、抗肿瘤治疗后的相关并发症、肿瘤转移至其他脏器及手术后的康复等复杂问题往往难以在一个亚专科得到全程解决。因此,对于结直肠外科病人的围手术期管理提出更高要求,但这些复杂多学科问题如何能系统性地得以解决是当前临床的难点,也是影响结直肠外科疾病长期预后的关键因素。围手术期外科之家(PSH)理念的提出为这一复杂多变的多学科问题提供了切实可行的解决途径。

关键词: 围手术期外科之家, 加速康复外科, 结直肠外科

Abstract: Application of the concept of perioperative surgical home during operation in colorectal surgery        JIANG Jun. Department of General Surgery, General Hospital of Eastern Theater Command, PLA, Nanjing 210002, China
Abstract    Colorectal surgery diseases often accompanied by complex biological behavior, aging tendencies, malnutrition, intestinal obstruction and psychological disorders, intestinal dysfunction after surgery, related complications after anti-tumor treatment, tumor metastasis and surgery post-rehabilitation and other complex issues are often difficult to solve in a subspecialty. Therefore, the management of  perioperative surgery for colorectal surgery patients puts forward higher requirements, but how the complex multidisciplinary problems can be solved systematically is the current clinical difficulty, and it is also a key factor affecting the long-term prognosis of colorectal surgery. The concept of perioperative surgery house (PSH) provides a practical and feasible solution to the complex and changeable multidisciplinary problem.

Key words: perioperative surgical home, enhanced recovery after surgery, colorectal surgery