摘要加速康复外科于1997年由丹麦Kehlet教授首先提出,目前已有18年的临床应用历史,并且在许多外科领域取得了显著成绩,其核心是减少围手术期的创伤应激、减少并发症,缩短住院时间.在我国,加速康复外科的临床研究已有十年的历史,目前在临床应用过程中遇到了一些困难与阻碍,特别受到传统习惯的困扰.今后我们应加大对手术应激及代谢规律的研究,重视应用已有的加速康复外科研究证据,努力实现临床的转化应用,最终达到手术无痛与无风险的目标.

abstractsSince the concept of fast track surgery (also known as enhanced recovery after surgery (ERAS)) was first introduced by Professor Kehlet in 1997, it has been 18 years of clinical practice.Significant progressions have been made in different fields of surgery, generally, in reducing the surgical stress, reducing the postoperative complications, and shortening the length of hospital stay.It has also been over ten years since the first research of ERAS in China.However, there are still some difficulties and obstacles in clinical applications, especially from the traditional habit.Thus, future studies of surgical stress and the regularity of metabolism are needed.The existing evidence of researches on ERAS should be translated into clinical application.Therefore, the aim of free-pain and no risk surgery will be achieved.