甲状腺癌与ERAS:转变理念,重视技术
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摘要
近十余年来,加速康复外科(enhanced recovery after surgery,ERAS)理念及其路径在我国有了较为迅速的普及和应用,多个专家共识得以发表。2018年,中国抗癌协会甲状腺癌专业委员会和头颈肿瘤专业委员会联合相关专家制定了"甲状腺外科ERAS中国专家共识(2018版)"。ERAS在甲状腺癌外科治疗中的实践需重视多学科协作理念,重视ERAS中每一项环节,重视功能化外科、微创外科理念,重视精细化甲状腺癌外科技术以及重视晚期甲状腺癌的ERAS。
In recent more than 10 years,the concept and pathway of enhanced recovery after surgery(ERAS) has been widely accepted and rapidly applied. In 2018,Chinese Association of Thyroid Oncology and Chinese Association of Head and Neck Oncology organized seminars and discussions,finally formulated the "Expert Consensus on Enhanced Recovery After Surgery(ERAS) for Thyroid Surgery(2018 Edition)". In the practice of ERAS on thyroid cancer operation,we should pay attention to the concept of multidisciplinary collaboration,every detail of ERAS,the concept of functional and minimally invasive surgery,meticulous operation technique and ERAS in advanced thyroid cancer.
In recent more than 10 years,the concept and pathway of enhanced recovery after surgery(ERAS) has been widely accepted and rapidly applied. In 2018,Chinese Association of Thyroid Oncology and Chinese Association of Head and Neck Oncology organized seminars and discussions,finally formulated the "Expert Consensus on Enhanced Recovery After Surgery(ERAS) for Thyroid Surgery(2018 Edition)". In the practice of ERAS on thyroid cancer operation,we should pay attention to the concept of multidisciplinary collaboration,every detail of ERAS,the concept of functional and minimally invasive surgery,meticulous operation technique and ERAS in advanced thyroid cancer.
引文
[1]Chinese Society of Surgery,Chinese Society of Anesthesiology.Consensus on ERAS and guidelines for pathway management in China(2018[)J].Chinese Journal of Practical Surgery,2018,38(1):1-20.[中华医学会外科学分会,中华医学会麻醉学分会.加速康复外科中国专家共识及路径管理指南(2018版)[J].中国实用外科杂志,2018,38(1):1-20.]
[2]Chinese Association of Head and Neck Oncology,Chinese Association of Thyroid Oncology.Expert consensus on enhanced recovery after surgery(ERAS)in thyroid surgery(2018 edition)[J].China Cancer,2019,28(1):26-38.[中国抗癌协会头颈肿瘤专业委员会,中国抗癌协会甲状腺癌专业委员会.甲状腺外科ERAS中国专家共识(2018版)[J].中国肿瘤,2019,28(1):26-38.]
[3]Chinese Society of Endocrinology,Endocrinology Group of Chinese Society of Surgery,Chinese Association of Head and Neck Oncology,Chinese Society of Nuclear Medicine.Management guidelines of thyroid nodules and differentiated thyroid cancer[J].Chinese Journal of Clinical Oncology,2012,28(10):779-797.[中华医学会内分泌学分会,中华医学会外科学分会内分泌学组,中国抗癌协会头颈肿瘤专业委员会,等.甲状腺结节和分化型甲状腺癌诊治指南[J].中华内分泌代谢杂志,2012,28(10):779-797.]
[4]Willemsen PJ,Appeltans BM.Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme[J].Br J Surg,1999,86(7):968-969.
[5]Ljungqvist O,Scott M,Fearon KC.Enhanced recovery after surgery:a review[J].JAMA Surg,2017,152(3):292-298.
[6]Nygren J,Thorell A,Ljungqvist O.Preoperative oral carbohydrate therapy[J].Curr Opin Anaesthesiol,2015,28(3):364-369.
[7]Wells SJ,Asa SL,Dralle H,et al.Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma[J].Thyroid,2015,25(6):567-610.
[8]Chinese Thyroid Association.Expert consensus on preservation of parathyroid glands in thyroid surgery[J].Chinese Journal of Practical Surgery,2015,35(7):731-736.[中国医师协会外科医师分会甲状腺外科医师委员会.甲状腺手术中甲状旁腺保护专家共识[J].中国实用外科杂志,2015,35(7):731-736.]
[9]Chinese Thyroid Association,Thyroid Diseases Committee of Chinese Research Hospital Association,Expert consensus on endoscopic thyroidectomy via the anterior chest approach[J].Chinese Journal of Practical Surgery,2017,37(9):992-997.[中国医师协会外科医师分会甲状腺外科医师委员会,中国研究型医院学会甲状腺疾病专业委员会.甲状腺外科能量器械应用专家共识(2017版)[J].中国实用外科杂志,2017,37(9):992-997.]
[10]Chinese Thyroid Association,Thyroid Diseases Committee of Chinese Research Hospital Association,Association of Medical Exchanges across the Taiwan Expert consensus on application of energy in thyroid surgery[J].Chinese Journal of Practical Surgery,2017,37(12):1369-1373.[中国医师协会外科医师分会甲状腺外科医师委员会,中国研究型医院学会甲状腺疾病专业委员会,海峡两岸医药卫生交流协会海西甲状腺微创美容外科专家委员会,等.经胸前入路腔镜甲状腺手术专家共识(2017版)[J].中国实用外科杂志,2017,37(12):1369-1373.]
[2]Chinese Association of Head and Neck Oncology,Chinese Association of Thyroid Oncology.Expert consensus on enhanced recovery after surgery(ERAS)in thyroid surgery(2018 edition)[J].China Cancer,2019,28(1):26-38.[中国抗癌协会头颈肿瘤专业委员会,中国抗癌协会甲状腺癌专业委员会.甲状腺外科ERAS中国专家共识(2018版)[J].中国肿瘤,2019,28(1):26-38.]
[3]Chinese Society of Endocrinology,Endocrinology Group of Chinese Society of Surgery,Chinese Association of Head and Neck Oncology,Chinese Society of Nuclear Medicine.Management guidelines of thyroid nodules and differentiated thyroid cancer[J].Chinese Journal of Clinical Oncology,2012,28(10):779-797.[中华医学会内分泌学分会,中华医学会外科学分会内分泌学组,中国抗癌协会头颈肿瘤专业委员会,等.甲状腺结节和分化型甲状腺癌诊治指南[J].中华内分泌代谢杂志,2012,28(10):779-797.]
[4]Willemsen PJ,Appeltans BM.Hospital stay of 2 days after open sigmoidectomy with a multimodal rehabilitation programme[J].Br J Surg,1999,86(7):968-969.
[5]Ljungqvist O,Scott M,Fearon KC.Enhanced recovery after surgery:a review[J].JAMA Surg,2017,152(3):292-298.
[6]Nygren J,Thorell A,Ljungqvist O.Preoperative oral carbohydrate therapy[J].Curr Opin Anaesthesiol,2015,28(3):364-369.
[7]Wells SJ,Asa SL,Dralle H,et al.Revised American Thyroid Association guidelines for the management of medullary thyroid carcinoma[J].Thyroid,2015,25(6):567-610.
[8]Chinese Thyroid Association.Expert consensus on preservation of parathyroid glands in thyroid surgery[J].Chinese Journal of Practical Surgery,2015,35(7):731-736.[中国医师协会外科医师分会甲状腺外科医师委员会.甲状腺手术中甲状旁腺保护专家共识[J].中国实用外科杂志,2015,35(7):731-736.]
[9]Chinese Thyroid Association,Thyroid Diseases Committee of Chinese Research Hospital Association,Expert consensus on endoscopic thyroidectomy via the anterior chest approach[J].Chinese Journal of Practical Surgery,2017,37(9):992-997.[中国医师协会外科医师分会甲状腺外科医师委员会,中国研究型医院学会甲状腺疾病专业委员会.甲状腺外科能量器械应用专家共识(2017版)[J].中国实用外科杂志,2017,37(9):992-997.]
[10]Chinese Thyroid Association,Thyroid Diseases Committee of Chinese Research Hospital Association,Association of Medical Exchanges across the Taiwan Expert consensus on application of energy in thyroid surgery[J].Chinese Journal of Practical Surgery,2017,37(12):1369-1373.[中国医师协会外科医师分会甲状腺外科医师委员会,中国研究型医院学会甲状腺疾病专业委员会,海峡两岸医药卫生交流协会海西甲状腺微创美容外科专家委员会,等.经胸前入路腔镜甲状腺手术专家共识(2017版)[J].中国实用外科杂志,2017,37(12):1369-1373.]