摘要
目的构建适合我国临床实际的胸腔镜联合腹腔镜下食管癌根治术(LTRE)围术期加速康复外科(ERAS)方案。方法系统检索国内外关于外科手术围术期ERAS的文献及指南,采用JBI证据等级与质量评价方法对其进行评定,初步拟定LTRE围术期ERAS方案,再采用德尔菲专家咨询法使其本土化。结果共有27项循证证据纳入本研究,通过循证和德尔菲法构建了“术前”“术中”“术后”3个模块,共29个条目的LTRE围术期ERAS方案。结论基于循证和德尔菲法构建的LTRE围术期ERAS方案科学性和专家权威性高,实用性强。
Objective To construct enhanced recovery after surgery(ERAS)protocol of laparoscopic thoracoscopic radical esophagec⁃tomy(LTRE)suitable for Chinese clinical practice.Methods A systematic search of literature and guidelines related to perioperative ERAS in both Chinese and English databases was conducted.JBI evidence level and quality evaluation method was used to evaluate perioperative ERAS in LTRE,and then Delphi expert consultation method was used to localize the scheme.Results A total of 27 evi⁃dence⁃based evidences were included in this study,and three modules of“preoperative”,“intraoperative”and“postoperative”were constructed by evidence⁃based and Delphi methods,with a total of 29 items of perioperative ERAS protocol for LTRE.Conclusion The ERAS scheme of LTRE perioperative period based on evidence⁃based and Delphi method is scientific,authoritative and practical.
作者
李鑫
倪逸倩
刘小雪
孙洁
LI Xin;NI Yi-qian;LIU Xiao-xue;SUN Jie(Department of Thoracic Surgery;Nursing Department,Changhai Hospital Affilia-ted to Naval Medical University,Shanghai 200433,China)
出处
《临床军医杂志》
CAS
2023年第7期707-712,共6页
Clinical Journal of Medical Officers
基金
国家自然科学基金青年科学基金项目(81600307)
海军军医大学深蓝护理教学研究与改革项目(2022JXY10)。
关键词
胸腔镜联合腹腔镜下食管癌根治术
加速康复外科
围术期管理
德尔菲法
Laparoscopic thoracoscopic radical esophagectomy
Enhanced recovery after surgery
Perioperative management
Delphi method
