手術後快速復原的觀念，乃源自最近對手術前後病理生理和照顧上的了解。經實證醫學證明，可 以減少一些繁瑣步驟，在重大外科手術可達到加速復原、減少罹病率、縮短住院時間等好處。其主要流 程包括對病人手術前說明、減少空腹時間、不須常規性灌腸、不置放胃管和腹部引流管、區域麻醉、預 防靜脈栓塞、避免手術時注射過多點滴和低體溫、早拔除導尿管、減少鴉片類止痛藥、早進食和早下床 等。最近的研究認為，婦科癌症患者如採加速復原觀念來治療，可縮短住院時間，並減少罹病率。

The concept of fast-track surgery was implemented in clinical practice on the basis of recent investigations in perioperative pathophysiology and care, enabling elimination of some procedures that are not justified in the review of evidence-based medicine. The primary objective of this approach is to hasten recovery, decrease morbidity, and shorten hospitalization after major surgical procedures. Key elements involve preoperative patient information, minimizing fasting, nonroutine use of mechanical bowel preparation, nasogastric tube and abdominal drains, regional anesthesia, prophylaxis of venous thrombosis, avoid fluid overload and hypothermia during operation, early catheter removal, opioid-sparing analgesia, early feeding and mobilization. The novel concept of fast-track surgery appears to be beneficial in patients operated for gynecologic malignancy, as hospital stay and medical morbidity are reduced.