山东大学耳鼻喉眼学报 ›› 2018, Vol. 32 ›› Issue (5): 1-4.doi: 10.6040/j.issn.1673-3770.1.2018.010

• 加速康复外科在耳鼻咽喉头颈外科的应用述评 •    下一篇

加速康复外科理念在头颈肿瘤手术的应用价值

宋西成   

  1. 2015GSF118090, 2018GSF118055);
    烟台毓璜顶医院青年科研启动基金(201610)通讯作者:宋西成。 E-mail:songxicheng@126.comDOI:10.6040/j.issn.1673-3770.1.2018.010加速康复外科在耳鼻咽喉头颈外科的应用述评加速康复外科理念在头颈肿瘤手术的应用价值宋西成(青岛大学附属烟台毓璜顶医院耳鼻咽喉头颈外科, 山东 烟台 264000
  • 收稿日期:2018-07-30 出版日期:2018-09-20 发布日期:2018-09-20
  • 通讯作者: 宋西成. E-mail:songxicheng@126.com
  • 基金资助:
    山东省重点研发计划(2015GSF118090,2018GSF118055);烟台毓璜顶医院青年科研启动基金(201610)

Application value of enhanced recovery after surgery in head and neck cancer surgery

SONG Xicheng   

  1. Department of Otolaryngology Head and Neck Surgery, Yantai Yuhuangding Hospital, Qingdao University, Yantai 264000, Shandong, China
  • Received:2018-07-30 Online:2018-09-20 Published:2018-09-20

摘要: 加速康复外科(ERAS)是指为使患者快速康复,在围手术期采取一系列的具有循证医学证据的优化措施,从而减少术后并发症、缩短住院时间,降低再入院风险及死亡风险。ERAS是多学科共同协作,针对患者病情进行个体化方案的制定,其已在外科多个领域广泛应用,但在耳鼻咽喉头颈外科,尤其头颈肿瘤手术尚较少应用;论文对ERAS在头颈肿瘤手术中的应用价值作简要阐述。

关键词: 加速康复外科, 头颈肿瘤, 外科手术, 围手术期处理

Abstract: Enhanced recovery after surgery(ERAS)involves a series of perioperative evidence-based interventions, which intends to attenuate surgical stress and accelerate postoperative functional recovery. ERAS protocols are made for individualized plans by multi-disciplinary collaboration, which has been widely used in many fields of surgery, but is still rarely used in head and neck surgery. ERAS plays an important role in improving survival rate and quality of life in head and neck cancer patients. In this article, we will discuss application value of ERAS in head and neck surgery in brief.

Key words: Enhanced recovery after surgery, Head and neck cancer, Surgical procedures, operative, Perioperative period management

中图分类号: 

  • R739.6
[1] Kehlet H. Multimodal approach to control postoperative pathophysiology and Rehabilitation[J]. Br J Anaesth, 1997, 78(5):606-617.
[2] 郑刚. 头颈肿瘤外科—ERAS的边缘地带[J]. 麻醉安全与质控, 2017, 1(1): 8-11.
[3] Huber GF, Dort JC. Reducing morbidity and complications after major head and neck cancer surgery: the(future)role of enhanced recovery after surgery protocols[J]. Curr Opin Otolaryngol Head Neck Surg, 2018, 26(2):71-77.
[4] Dort JC, Farwell DG, Findlay M, et al. Optimal perioperative care in major head and neck cancer surgery with free flap reconstruction a consensus review and recommendations from the enhanced recovery after surgery society[J]. JAMA Otolaryngol Head Neck Surg, 2017, 143(3): 292-303.
[5] Licitra L, Keilholz U, Tahara M, et al. Evaluation of the benefit and use of multidisciplinary teams in the treatment of head and neck cancer[J]. Oral Oncol, 2016, 59:73-79.
[6] Birchall M, Bailey D, King P. South West Cancer Intelligence Service Head and Neck Tumour Panel. Effect of process standards on survival of patients with head and neck cancer in the south and west of England[J]. Br J Cancer, 2004, 91:1477-1481.
[7] Friedland PL, Bozic B, Dewar J, et al. Impact of multidisciplinary team management in head and neck cancer patients[J]. Br J Cancer, 2011, 104:1246-1248.
[8] Aires FT, Dedivitis RA, Petrarolha SM, et al. Early oral feeding after total laryngectomy: a systematic review[J]. Head Neck, 2015, 37(10): 1532-1535.
[9] Sharifian HA, Najafi M, Khajavi M. Early oral feeding following total laryngectomy[J]. Tanaffos, 2008, 7:64-70.
[10] Seven H, Calis AB, Turgut S. A randomized controlled trial of early oral feeding in laryngectomized patients[J]. Laryngoscope, 2003, 113:1076-1079.
[11] Aprigliano F. Use of the nasogastric tube after total laryngectomy: is it truly necessary?[J]. Ann Otol Rhinol Laryngol, 1990, 99(7 Pt 1):513-514.
[12] Barr J, Boulind C, Foster JD, et al. Impact of analgesic modality on stress response following laparoscopic colorectal surgery: a post-hoc analysis of a randomised controlled trial[J]. Tech Coloproctol, 2015,19(4):231-239.
[13] Anderson KO, Mendoza TR, Valero V, et al. Minority cancer patients and their providers: pain management attitudes and practice[J]. Cancer, 2000, 88(8):1929-1938.
[14] Hinther A, Nakoneshny SC, Chandarana SP, et al. Efficacy of postoperative pain management in head and neck cancer patients[J]. J Otolaryngol Head Neck Surg, 2018, 47(1):29.
[15] van den Beuken-van Everdingen MH, de Rijke JM, Kessels AG, et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years[J]. Ann Oncol, 2007, 18(9):1437-1449.
[16] Sheth VM,Weitzul S. Postoperative topical antimicrobial use[J]. Dermatitis, 2008,19(4):181-189.
[17] Schwarz W, Willy C, Ndjee C. Gravity or suction drainage in thyroid surgery? Control of efficacy with ultrasound determination of residual hematoma[J]. Langenbecks Arch Chir, 1996, 381(6):337-342.
[18] Chan JY, Semenov YR, Gourin CG. Postoperative urinary tract infection and short-term outcomes and costs in head and neck cancer surgery[J]. Otolaryngol Head Neck Surg, 2013, 148(4):602-610.
[19] Chai J, Pun TC. A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy[J]. Acta Obstet Gynecol Scand, 2011, 90(5):478-482.
[20] Ahmed MR, Sayed Ahmed WA, Atwa KA, et al. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial[J]. Eur J Obstet Gynecol Reprod Biol, 2014, 176(1):60-63.
[21] Zhang P, Hu WL, Cheng B, et al. A systematic review and meta-analysis comparing immediate and delayed catheter removal following uncomplicated hysterectomy[J]. Int Urogynecol J, 2015, 26(5):665-674.
[22] Zaouter C, Wuethrich P, Miccoli M, et al. Early removal of urinary catheter leads to greater post-void residuals in patients with thoracic epidural[J]. Acta Anaesthesiol Scand, 2012, 56(8):1020-1025.
[23] Cameron M, Corner A, Diba A, et al. Development of a tracheostomy scoring system to guide airway management after major head and neck surgery[J]. Int J Oral Maxillofac Surg, 2009, 38(8):846-849.
[24] Coyle MJ, Tyrrell R, Godden A, et al. Replacing tracheostomy with overnight intubation to manage the airway in head and neck oncology patients: towards an improved recovery[J]. Br J Oral Maxillofac Surg, 2013, 51(6):493-496.
[25] Santus P, Gramegna A, Radovanovic D, et al. A systematic review on tracheostomy decannulation: a proposal of a quantitative semiquantitative clinical score[J]. BMC Pulm Med, 2014, 14:201.
[26] Brookes JT, Seikaly H, Diamond C, et al. Prospective randomized trial comparing the effect of early suturing of tracheostomy sites on postoperative patient swallowing and rehabilitation[J]. J Otolaryngol, 2006, 35(2):77-82.
[27] Thomas JA, McIntosh JM. Are incentive spirometry, intermittent positive pressure breathing, and deep breathing exercises effective in the prevention of postoperative pulmonary complications after upper abdominal surgery? A systematic overview and meta-analysis[J]. Phys Ther, 1994, 74(1):3-10.
[1] 陈涛,姜洋,李莹. SMILE矫正PRK术后屈光回退1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 148-153.
[2] 彭薪燃,李永团. Madelung病伴阴囊脂肪堆积1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 67-71.
[3] 张礼俊, 胥然, 罗继芳, 刘国旗, 何千, 李玮, 蒋振华. 头颈肿瘤游离皮瓣修复术后皮瓣坏死及皮瓣相关并发症影响因素分析[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 86-90.
[4] 陈世琴,卫平存,胡云龙,胡金旺. 糖皮质激素三种不同鼻用法对鼻内镜术后黏膜转归的影响[J]. 山东大学耳鼻喉眼学报, 2022, 36(3): 195-201.
[5] 赵笑冰,张大为,陈仁杰. 中耳间变性大T细胞淋巴瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 7-14.
[6] 赵雅铭,石崧. 以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 12-16.
[7] 王赫,宋西成. 加速康复外科在甲状腺围手术期的应用[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 101-107.
[8] 石玉琦,佘翠平,张庆丰,刘得龙,焦梦思. 早期声门型喉癌低温等离子射频术后喉部感染诊治经验与教训[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 129-134.
[9] 朱华明,关建,茆松,张维天,易红良. 低温等离子射频消融辅助咽旁间隙良性肿瘤切除的应用分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 28-33.
[10] 徐建慧,李欣,寸晶晶,叶飞. 加速康复外科在鼻中隔偏曲矫正术围手术期的应用效果[J]. 山东大学耳鼻喉眼学报, 2021, 35(1): 21-24.
[11] 郭芳,张德军,傅则名,郭颖媛,万怡宁,管国芳. 外耳道胆脂瘤并发化脓性腮腺炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 12-15.
[12] 郑桂彬,张国军,马驰,韦树建,孙海清,吴国长,郭雅文,郑海涛,宋西成. 经口腔前庭入路腔镜甲状腺手术在甲状腺乳头状癌中的安全效用分析[J]. 山东大学耳鼻喉眼学报, 2020, 34(3): 58-63.
[13] 马驰,郑桂彬,孙海清,吴国长,郭雅文,孔杨,宋西成,郑海涛. 加速康复外科理念应用于甲状腺癌手术100例[J]. 山东大学耳鼻喉眼学报, 2020, 34(3): 107-110.
[14] 郑美君,杨慧,胡娟娟. 喉显微外科治疗声门型喉蹼的研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 144-147.
[15] 王海英. 鼻内镜下二线减张鼻中隔矫正术43例临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 166-168.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!