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| Implementation and research progress of ERAS in colorectal cancer |
| Chen Wenhao, Yu Zhen |
| Department of Gastrointestinal Surgery, Shanghai Tenth People's Hospital Affiliated to Tongji University, Shanghai 200072, China |
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Abstract Colorectal cancer is one of the most common causes of cancer deaths worldwide. And nowadays surgery is still
the preferred treatment for it. Colorectal surgery is usually classed as grade Ⅲ or Ⅳ surgery according to the surgical
classification. It often requires general anesthesia, and the scope of operation is larger and the duration of operation is longer,
which has a great impact on the trauma of patients, leading to slow postoperative recovery and prolonged hospital stay. In recent
years, people′s awareness of medical safety is constantly enhanced, and the requirements for the treatment effect of clinical
diseases are also increasingly high, prompting medical institutions to constantly improve the level of medical treatment, so as to
improve the adverse outcome of disease treatment. Enhanced recovery after surgery (ERAS) protocols integrate a series of
optimized perioperative management measures, aiming at alleviating various perioperative stress responses, improving organ
dysfunction and speeding up postoperative recovery of patients. Benefits of ERAS implementation in colorectal surgery include
reduced length of stay and decreased complications without an increase in readmissions. In recent years, the concept of ERAS
has been rapidly developed and applied at home and abroad. Intervention measures based on the concept of ERAS can achieve
satisfactory application effects. However, ERAS requires multidisciplinary collaboration and the active participation of patients
and their families, and its introduction in China has been slow. However, the rapid development of colorectal surgery technology
and the reform of medical payment system provide more favorable support for the further promotion and application of ERAS
concept in the field of colorectal.
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Received: 15 May 2021
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