优化食管手术围手术期护理:欧洲围手术期医疗网络(EUPEMEN)合作食管切除术。

IF 3 Q2 MEDICINE, RESEARCH & EXPERIMENTAL
Orestis Ioannidis, Elissavet Anestiadou, Angeliki Koltsida, Jose M Ramirez, Nicolò Fabbri, Javier Martínez Ubieto, Carlo Vittorio Feo, Antonio Pesce, Kristyna Rosetzka, Antonio Arroyo, Petr Kocián, Luis Sánchez-Guillén, Ana Pascual Bellosta, Adam Whitley, Alejandro Bona Enguita, Marta Teresa-Fernandéz, Stefanos Bitsianis, Savvas Symeonidis
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引用次数: 0

摘要

背景/目的:尽管手术技术取得了进步,但食管切除术仍然是最具挑战性和最复杂的胃肠外科手术之一,其围手术期发病率和死亡率高,经济成本高。认识到多学科医疗团队提供标准化护理的需求,欧洲围手术期医疗网络(EUPEMEN)倡议制定了食管切除术患者围手术期护理的专用方案,旨在提高恢复,降低发病率,并在欧洲医疗保健系统中实现均质化护理。方法:通过欧洲五个合作伙伴的多学科合作制定,该协议纳入了专家共识和最新的科学证据。它涉及整个围手术期途径,从术前准备到出院和术后恢复,强调以患者为中心的护理,风险缓解和早期功能恢复。结果:EUPEMEN食管切除术方案的实施有望通过每日结构化的康复计划、细致的术中管理和积极的术后康复来改善患者的预后。该方法可减少术后并发症,更早恢复口服摄入,缩短住院时间,同时支持多学科协调。结论:食管切除术EUPEMEN方案为优化食管手术围手术期护理提供了一个全面的指导框架。此外,它还作为医疗保健专业人员的实用指南,致力于在欧洲不同的护理环境中推进手术恢复和标准化临床实践。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Optimizing Perioperative Care in Esophageal Surgery: The EUropean PErioperative MEdical Networking (EUPEMEN) Collaborative for Esophagectomy.

Background/objectives: Despite advancements in surgery, esophagectomy remains one of the most challenging and complex gastrointestinal surgical procedures, burdened by significant perioperative morbidity and mortality rates, as well as high financial costs. Recognizing the need for standardized care provided by a multidisciplinary healthcare team, the EUropean PErioperative MEdical Networking (EUPEMEN) initiative developed a dedicated protocol for perioperative care of patients undergoing esophagectomy, aiming to enhance recovery, reduce morbidity, and homogenize care delivery across European healthcare systems.

Methods: Developed through a multidisciplinary European collaboration of five partners, the protocol incorporates expert consensus and the latest scientific evidence. It addresses the entire perioperative pathway, from preoperative preparation to hospital discharge and postoperative recovery, emphasizing patient-centered care, risk mitigation, and early functional restoration.

Results: The implementation of the EUPEMEN esophagectomy protocol is expected to improve patient outcomes through a day-by-day structured prehabilitation plan, meticulous intraoperative management, and proactive postoperative rehabilitation. The approach promotes reduced postoperative complications, earlier return to oral intake, and shorter hospital stays, while supporting multidisciplinary coordination.

Conclusions: The EUPEMEN protocol for esophagectomy provides a comprehensive guideline framework for optimizing perioperative care in esophageal surgery. In addition, it serves as a practical guide for healthcare professionals committed to advancing surgical recovery and standardizing clinical practice across diverse care environments across Europe.

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