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Journal of Nursing ›› 2024, Vol. 31 ›› Issue (17): 61-65.doi: 10.16460/j.issn1008-9969.2024.17.061

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Expert consensus on surgical nursing in enhanced recovery after surgery for esophageal cancer during perioperative period

YU Feng-xia1,2, YU Yuan1,2   

  1. 1. Integrated Nursing of Esophageal Cancer Committee of China Anti-cancer Association, Beijing 100021, China;
    2. Dept. of Thoracic Surgery, Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
  • Received:2024-05-10 Online:2024-09-10 Published:2024-10-08

Abstract: Objective To make recommendations for surgical nursing in enhanced recovery after surgery (ERAS) for esophageal cancer (EC), to formulate Expert Consensus on Surgical Nursing in Enhanced Recovery after Surgery for Esophageal Cancer during Perioperative Period, to provide standardized guidance for perioperative nursing strategies in ERAS for patients with EC, to play a certain guiding role in clinical nursing, and to further accelerate the recovery of patients. Methods After literature review, two rounds of Delphi consultation in EC-related experts from domestic tertiary grade-A hospitals were conducted. The consensus was revised and improved. Results An expert consensus was formulated in 11 aspects, including research on pre-rehabilitation of EC during perioperative period, nutrition management, preoperative intestinal preparation and pipeline management. In the pre-rehabilitation of patients with EC, comprehensive evaluation, individualized education, cardiopulmonary evaluation, aerobic exercise training, anemia evaluation and management should be carried out, and appropriate pipeline management measures should be taken before surgery, such as not recommending routine use of nasogastric tube/nasojejunal tube, early oral intake and early removal to enhance recovery and low the risk of complications. Conclusion According to existing evidence and clinical experts, perioperative nursing norms in EARS for EC esophageal cancer surgery are integrated, and a consensus was formed to provide reference for clinical practice.

Key words: esophageal cancer, enhanced recovery after surgery, perioperative nursing, expert consensus, pre-rehabilitation

CLC Number: 

  • R473.6
[1] Huang FL, Yu SJ.Esophageal cancer: Risk factors, genetic association, and treatment[J]. Asian J Surg, 2018, 41(3): 210-215. DOI:10.1016/j.asjsur.2016.10.005.
[2] Borggreve AS, Kingma BF, Domrachev SA, et al.Surgical treatment of esophageal cancer in the era of multimodality management[J]. Ann N Y Acad Sci, 2018, 1434(1): 192-209. DOI:10.1111/nyas.13677.
[3] Bardram L, Funch-Jensen P, Jensen P, et al.Recovery after laparoscopic colonic surgery with epidural analgesia, and early oral nutrition and mobilisation[J]. Lancet, 1995, 345(8952):763-764. DOI:10.1016/s0140-6736(95)90643-6.
[4] Puccetti F, Wijnhoven BPL, Kuppusamy M, et al. Impact of standardized clinical pathways on esophagectomy: a systematic review and meta-analysis[J]. Dis Esophagus, 2022, 35(2): doab027. DOI:10.1093/dote/doab027.
[5] Triantafyllou T, Olson MT, Theodorou D, et al.Enhanced recovery pathways vs standard care pathways in esophageal cancer surgery: systematic review and Meta-analysis[J]. Esophagus, 2020, 17(2):100-112. DOI:10.1007/s10388-020-00718-9.
[6] Shaw CA, Steelman VM, Deberg J, et al.Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials[J]. J Clin Anesth, 2017, 38: 93-104. DOI:10.1016/j.jclinane.2017.01.005.
[7] Smith MD, Mccall J, Plank L, et al. Preoperative carbohydrate treatment for enhancing recovery after elective surgery[J]. Cochrane Database Syst Rev, 2014, 2014(8): Cd009161. DOI:10.1002/14651858.CD009161.pub2.
[8] Weijs TJ, Berkelmans GH, Nieuwenhuijzen GA,et al.Routes for early enteral nutrition after esophagectomy. A systematic review[J]. Clin Nutr, 2015, 34(1): 1-6. DOI:10.1016/j.clnu.2014.07.011.
[9] Gemmill EH, Humes DJ, Catton JA.Systematic review of enhanced recovery after gastro-oesophageal cancer surgery[J]. Ann R Coll Surg Engl, 2015, 97(3): 173-179. DOI:10.1308/003588414x14055925061630.
[10] Shen Y, Chen X, Hou J, et al.The effect of enhanced recovery after minimally invasive esophagectomy: a randomized controlled trial[J]. Surg Endosc, 2022, 36(12): 9113-9122. DOI:10.1007/s00464-022-09385-6.
[11] Le Roy B, Pereira B, Bouteloup C, et al.Effect of prehabilitation in gastro-oesophageal adenocarcinoma: Study protocol of a multicentric, randomised, control trial-the PREHAB study[J]. BMJ Open, 2016, 6(12): e012876. DOI:10.1136/bmjopen-2016-012876.
[12] Schmidt HM, El Lakis MA, Markar SR, et al.Accelerated recovery within standardized recovery pathways after esophagectomy: a prospective cohort study assessing the effects of early discharge on outcomes, readmissions, patient satisfaction, and costs[J]. Ann Thorac Surg, 2016, 102(3): 931-939. DOI:10.1016/j.athoracsur.2016.04.005.
[13] Cao S, Zhao G, Cui J, et al.Fast-track rehabilitation program and conventional care after esophagectomy: a retrospective controlled cohort study[J]. Support Care Cancer, 2013, 21(3): 707-714. DOI:10.1007/s00520-012-1570-0.
[14] Bloc S, Alfonsi P, Belbachir A, et al.Guidelines on perioperative optimization protocol for the adult patient 2023[J]. Anaesth Crit Care Pain Med, 2023, 42(4): 101264. DOI:10.1016/j.accpm.2023.101264.
[15] Obermannová R, Alsina M, Cervantes A, et al.Oesophageal cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up[J]. Ann Oncol, 2022, 33(10): 992-1004. DOI:10.1016/j.annonc.2022.07.003.
[16] Low DE, Allum W, De Manzoni G, et al.Guidelines for perioperative care in esophagectomy: Enhanced Recovery After Surgery (ERAS ® ) Society recommendations[J]. World J Surg, 2019, 43(2): 299-330. DOI:10.1007/s00268-018-4786-4.
[17] Findlay JM, Gillies RS, Millo J, et al.Enhanced recovery for esophagectomy: a systematic review and evidence-based guidelines[J]. Ann Surg, 2014, 259(3): 413-431. DOI:10.1097/sla.0000000000000349.
[18] Mortensen K, Nilsson M, Slim K, et al.Consensus guidelines for enhanced recovery after gastrectomy: Enhanced Recovery After Surgery (ERAS ® ) Society recommendations[J]. Br J Surg, 2014, 101(10): 1209-1229. DOI:10.1002/bjs.9582.
[19] 曹晖, 陈亚进, 顾小萍, 等. 中国加速康复外科临床实践指南(2021版)[J]. 中国实用外科杂志, 2021, 41(9): 961-992. DOI:10.19538/j.cjps.issn1005-2208.2021.09.01.
[20] 中国抗癌协会肿瘤营养专业委员会, 中华医学会肠外肠内营养学分会, 中国医师协会放射肿瘤治疗医师分会营养与支持治疗学组. 食管癌患者营养治疗指南[J]. 中国肿瘤临床, 2020, 47(1):1-6;中插1-中插4. DOI:10.3969/j.issn.1000-8179.2020.01.430.
[21] 于康, 李增宁, 丛明华, 等. 恶性肿瘤患者康复期营养管理专家共识[J]. 营养学报, 2017, 39(4): 321-326. DOI:10.13325/j.cnki.acta.nutr.sin.2017.04.004.
[22] 赵敏燕,卜黎静,程飞儿,等.加速康复外科理念下食管癌微创手术患者围手术期活动方案的构建[J]. 中国实用护理杂志,2023, 39(10):744-750.DOI:10.3760/cma.j.cn211501-20220726-02369.
[23] 刘子嘉, 张路, 刘洪生, 等. 基于加速术后康复的胸外科手术预康复管理专家共识(2022)[J].协和医学杂志, 2022, 13(3):387-401. DOI:10.12290/xhyxzz.2022-0178.
[24] 中国医师协会胸外科分会快速康复专家委员会. 食管癌加速康复外科技术应用专家共识(2016版)[J]. 中华胸心血管外科杂志, 2016, 32(12):717-722. DOI:10.3760/cma.j.issn.1001-4497.2016.12.003.
[25] 王春青, 胡雁. JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015, 30(11):964-967. DOI:10.16821/j.cnki.hsjx.2015.11.002.
[26] 赵静, 王欣, 徐晓霞, 等. 甲状腺癌加速康复外科围术期护理专家共识[J]. 护理研究, 2022, 36(1):1-7. DOI:10.12102/j.issn.1009-6493.2022.01.001.
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