Abstract：
Enhanced recovery after surgery (ERAS) for head and neck oncology patients was first introduced in 2017 and was found to improve patient outcomes, in line with results from other surgical specialties. This article presents a rapid recovery protocol (RRP) to further enhance perioperative care in conjunction with the ERAS protocol, for patients undergoing ablative surgery together with free flap reconstruction and tracheostomy. A prospective multidisciplinary approach was adopted to identify a specific cohort of patients who would benefit from the RRP. Of 26 patients who fulfilled the eligibility criteria, 16 completed the RRP. On average, these patients spent 5 days less with a tracheostomy and were discharged 7 days sooner when compared to a matched control group of nine patients on the standard postoperative care pathway. This resulted in an approximate monetary saving of £ 9955 per patient for the hospital trust. These results demonstrate that the feasibility study should be rolled out further, as the RRP not only decreased the length of stay but also provided substantial monetary savings without compromising patient outcomes.
摘要：
2017年首次引入了头颈部肿瘤患者的术后恢复增强（ERAS），并发现可以改善患者的预后。与其他外科专业的结果一致。本文提出了一种快速恢复方案（RRP），以进一步加强围手术期护理与ERAS方案相结合，用于接受消融手术并进行游离皮瓣重建和气管造口术的患者。采用前瞻性多学科方法来确定将从RRP中受益的特定患者队列。在符合资格标准的26名患者中，16完成了RRP。平均而言,与采用标准术后护理路径的9例患者相匹配的对照组相比,这些患者在气管切开术中的时间减少了5天,并且提前7天出院.这为医院信托基金每位患者节省了大约9955英镑的金钱。这些结果表明，可行性研究应该进一步展开，因为RRP不仅缩短了住院时间,而且在不影响患者预后的情况下节省了大量资金.
