Clinical Practice of Enhanced Recovery after Surgery Program for Esophagectomy

Abstract Enhanced recover after surgery(ERAS) program is multimodal strategies to reduce the incidence of postoperative morbidity and mortality, and encourage early functional recovery from surgical insult. It consists of physical therapy to facilitate postoperative early mobilization, nutritional support, introduction of minimal invasive surgery, restrictive fluid therapy and early resumption of oral intake. Esophagectomy for esophageal cancer is a highly invasive procedure with high incidence of postoperative morbidity and mortality. Although the evidence of ERAS program for esophagectomy has not yet been established, some approaches has been reported with feasible results. This article describes the clinical practices of ERAS program for esophagectomy.